AK Insurance Bulletin B05-01
Alaska Small Employer Insurance Activity Report
DIVISION OF INSURANCE
Frank H. Murkowski, Governor
BULLETIN B 05-01
TO: ALL ALASKA HEALTH CARE INSURERS AND OTHER INTERESTED
PARTIES
RE: ALASKA SMALL EMPLOYER HEALTH INSURANCE ACTIVITY REPORT
Our records indicate that you are licensed to transact the business of health insurance in Alaska.
Under AS 21.56.075, each health care insurer is required to report its total premiums earned in
the preceding calendar year and other information required by the director regarding health care
insurance plans delivered or issued for delivery to small employers in Alaska. The information
for calendar year 2004 must be submitted to the division on the attached Alaska Small Employer
Health Insurance Activity Report no later than March 15, 2005. Section I of this report must be
completed and returned to the division even if you do not write health insurance in the small
employer market in Alaska.
This report will be used to determine each company’s share of the assessment base for Alaska’s
Small Employer Health Reinsurance Association. It also will be used by the association to report
to the Alaska Legislature and to the director on the effectiveness of Alaska’s small employer
health insurance reforms and to compare the effectiveness of Alaska’s small employer reforms
with other states and regions of the country.
Please complete the attached Activity Report, or use an electronic version available at
www.commerce.state.ak.us/insurance, and return it by mail, fax, or e-mail in MS Word or PDF
to:
Lewis Brooks
Insurance Analyst
Alaska Division of Insurance
P.O. Box 110805
Juneau, AK 99811-0805
E-mail: Lewis_Brooks@commerce.state.ak.us
Phone: (907) 465-4608 Š Fax: (907) 465-3422
If you have any questions relating to the report, please contact Lewis Brooks.
Dated this 10th day of January, 2005 at Anchorage, Alaska.
Linda S. Hall
Director
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/