AK Insurance Bulletin B04-16
Self-Certification Program for Property and Casualty Form Filings
DIVISION OF INSURANCE
Frank H. Murkowski, Governor
550 W. 7th Avenue, Suite 1560, Anchorage, Alaska 99501-3567
Telephone: (907) 269-7900 Fax: (907) 269-7910 Text Telephone: (907) 465-5437
Email: insurance@commerce.state.ak.us Website: http://www.commerce.state.ak.us/insurance/
BULLETIN B 04-16
TO:
ALL ADMITTED INSURERS WRITING PROPERTY AND CASUALTY
BUSINESS IN THE STATE OF ALASKA AND OTHER INTERESTED PARTIES
RE:
SELF-CERTIFICATION PROGRAM FOR PROPERTY AND CASUALTY
FORM FILINGS
The Alaska Division of Insurance will now be participating in the National Association of
Insurance Commissioners (NAIC) Self-Certification Pilot Program. Participation in this
program will provide insurers an opportunity to receive an expedited review of filings for
selected lines of property and casualty insurance.
Form filings for the following lines of business are eligible for submission through this program:
inland marine, employment practices liability, directors and officers liability, surety, crime,
businessowners package, boiler and machinery, general liability, excess and umbrella liability,
and mortgage guaranty. In addition to the listed lines of business, forms that only reflect changes
in company or officers names and changes to declarations pages for all lines are eligible for
expedited review. Adoption of approved rating organization forms for all lines of business may
also be submitted through the Self-Certification program. The division will periodically add
additional lines of business to the Self-Certification program. As they are added, these lines will
be listed in the Rates and Forms Section of the division website at
http://www.commerce.state.ak.us/insurance/rates.htm.
Each filing submitted under this program must be accompanied by a signed Alaska Certificate of
Compliance Form and a completed Property and Casualty Form Checklist. The filer must fill out
the checklist completely, including page numbers corresponding to the policy provisions that
address each checklist item
s Section of the division website at
http://www.commerce.state.ak.us/insurance/rates.htm.
Each filing submitted under this program must be accompanied by a signed Alaska Certificate of
Compliance Form and a completed Property and Casualty Form Checklist. The filer must fill out
the checklist completely, including page numbers corresponding to the policy provisions that
address each checklist item. Filings that contain incomplete checklists are ineligible for the
Self-Certification program.
Filings made under the Self-Certification program do not need to include the Property, Casualty,
and Title Insurance Filing Submission Guide. But compliance with the requirements of the
guide is mandatory.
Self-Certification filings must also include an NAIC Property and Casualty Transmittal
Document. The transmittal document must clearly indicate that this filing is submitted for
consideration under the Self-Certification program by including STMSCP in the “Filing Type:
Other” description area. The “Filing Description” area should identify the checklist relied upon
in preparing the filing with the title and edition date of the checklist. For filings submitted via
SERFF, the State Specific Fields of the Transmittal Header must also be completed indicating
that the filing is submitted under the Self-Certification program.
The Property and Casualty Form Checklist; Alaska Certificate of Compliance Form; Property,
Casualty, and Title Insurance Filing Submission Guide; and Alaska NAIC Transmittal Document
are located on the division’s website at http://www.commerce.state.ak.us/insurance/rates.htm.
Additional information on the NAIC Self-Certification Pilot Program is available on the NAIC’s
website at http://www.naic.org/rates_forms/self_certification.htm.
If you have questions regarding this bulletin, please contact the Division of Insurance, P O Box
110805, Juneau, AK 99811-0805; (907)465-2515; or via electronic mail at
insurance@commerce.state.ak.us.
Dated this 13th day of October 2004, at Anchorage, Alaska.
Linda S
NAIC Self-Certification Pilot Program is available on the NAIC’s
website at http://www.naic.org/rates_forms/self_certification.htm.
If you have questions regarding this bulletin, please contact the Division of Insurance, P O Box
110805, Juneau, AK 99811-0805; (907)465-2515; or via electronic mail at
insurance@commerce.state.ak.us.
Dated this 13th day of October 2004, at Anchorage, Alaska.
Linda S. Hall
Director