AK Insurance Bulletin B09-03
Consumer Credit Insurance Reporting Form
P.O. Box 110805, Juneau, Alaska 99811-0805
Telephone: (907) 465-2515 Fax: (907) 465-3422 Text Telephone: (907) 465-5437
Email: insurance@alaska.gov Website: http://www.commerce.state.ak.us/insurance/
Sarah Palin, Governor
Emil Notti, Commissioner
Linda S. Hall, Director
Division of Insurance
BULLETIN B 09-03
TO:
ALL INSURANCE COMPANIES TRANSACTING CONSUMER CREDIT
INSURANCE IN THE STATE OF ALASKA AND OTHER INTERESTED
PARTIES
RE:
CONSUMER CREDIT INSURANCE REPORTING FORM
As stated in 3 AAC 28.370(b), “Every three years beginning in 2003, an insurer writing
consumer credit insurance in this state shall file with the director on or before May 1 a report of
consumer credit insurance in this state for the three previous years, on a form prescribed by the
director.” In order to comply with this requirement, all insurers transacting consumer credit
insurance in Alaska must complete the requirements stated in this bulletin by May 1, 2009.
The prescribed reporting form must be completed in Microsoft Excel and submitted
electronically if your company has written consumer credit insurance in Alaska in 2006, 2007, or
2008. If your company did not write any consumer credit insurance in Alaska during those
years, simply respond by sending an e-mail to insinfo@alaska.gov that states “NO DATA TO
REPORT” and providing the name of the company, its NAIC number, and contact information.
This bulletin and prescribed reporting form are available on the Internet. To access the reporting
form, go to the Alaska Division of Insurance web page at:
www.commerce.state.ak.us/insurance/bulletins/bulletins.htm and:
1. Open “2009 Consumer Credit Report.xls” and save it to your hard drive.
2. Open Microsoft Excel and the document you just saved.
3. Fill in the data requested on the survey form and save the document with the
following format “Credit Rpt - ABC Ins NAIC 12345 2009.xls.”
4. E-mail the completed survey as an attachment to insinfo@alaska.gov.
As required under 3 AAC 28.370(b)(1), before e-mailing the completed forms to the division,
please verify that the premium and claim data reported in the forms balance to the premium and
claim data reported in the National Association of Insurance Commissioners Annual Statement
Consumer Credit Insurance Exhibit for Alaska.
If you have questions regarding the prescribed form or any information provided in this bulletin,
please contact Katie Campbell by phone at (907) 465-4607 or by e-mail at
katie.campbell@alaska.gov.
Dated: January 29, 2009
Linda S. Hall
Director