AK Insurance Bulletin B15-04
Annual Survey on Health Insurance
THE STATE
01ALASKA
GOVERNOR BILL WALKER
. BULLETIN B 15-04
Department of Commerce, Community,
and Economic Development
DIVISION OF INSURANCE
550 West Seventh Avenue, Suite 1560
Anchorage, Alaska 99501-3567
Main: 907 .269. 7900
Fax: 907.269.7910
TO:
ALL INSURERS AUTHORIZED TO TRANSACT HEAL TH INSURANCE
BUSINESS IN THE STATE OF ALASKA AND OTHER INTERESTED
PARTIES
RE:
ANNUAL SURVEY ON HEALTH INSURANCE
AS 21.06.110 requires the director to report on an annual basis "statistical information regarding
health insurance, including the number of individual and group policies sold or terminated in the
state" and "the annual percentage of health claims paid in the state that meets the requirements of
AS 21.36.495(a) and (d)." In order to comply with this statutory requirement, all insurers
licensed to transact health insurance business in Alaska must respond with a completed survey,
or a statement that your company reported no direct premiums or paid claims on their annual
statement, via email to the division at insinfo@alaska.gov by May 1, 2015.
Please note that stop loss insurance is considered health insurance in Alaska. Therefore, stop
loss insurance must be reported on this survey.
Ali companies that report any direct premiums or paid claims in the annuai statement must
submit a survey, and unless otherwise described in the instructions for out-of-state policies, the
direct premiums and paid claims must match the annual statement data. If your company does
not report the foregoing, simply respond by sending an e-mail to the division at
insinfo@alaska.gov with "NO DATA TO REPORT" in the body of the e-mail along with
contact information. Include the full company name and NAIC number in the subject line.
In completing the survey, please take care to review and follow the survey instructions---NOTE
THE CHANGE TO THE SINGLE EMPLOYER CATEGORIES. The information provided in
this survey is used in analyzing the health insurance market in Alaska, and summary data from
the survey is reported to the Alaska legislature and to the public. It is critical that you provide
accurate information. Before sending the completed form to the division, please verify that the
premium and claim data balance to the premium and claim data reported in the National
Association of Insurance Commissioners Annual Statement State Page for Alaska or explain the
difference, as described in the survey instructions.
The bulletin and survey are available on the Internet and must be completed in Microsoft Excel
and submitted electronically. To access this survey on the Internet, go to the Alaska Division of
Insurance web page at:
http://commerce.alaska.gov/dnn/ins/StatutesRegulationsBulletinsExamsOrders/Bulletins.aspx
Select Bulletin 15-04
1. Open "2015 Survey Form.xls" and save 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 "ABC Ins Co NAIC 12345 2015.xls".
4. E-mail the completed survey as an attachment to the division at insinfo@alaska.gov
If you have questions regarding the survey or instructions, contact Jake Lau ten by phone, (907)
465-5471, or by e-mail at Jacob.Lauten@alaska.gov.
Dated this t..f "" day of March, 2015.