AK Insurance Bulletin B19-04
Annual Survey on Health Insurance
BULLETIN B 19-04
TO: ALL INSURERS AUTHORIZED TO TRANSACT HEALTH 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 addition, the Division reminds health care insurers that they must include a certificate of
compliance regarding grievances per 3 AAC 28.932(e)(1) with their response to this survey.
Bulletin B 18-10 notified insurers and described the process of submitting a certificate of
compliance related to utilization review procedures (3 AAC 28.916) in SERFF by May 1. The
division will also accept this required document as an attachment to this survey.
In order to comply with these requirements, all insurers licensed to transact health insurance
business in Alaska must respond with a completed survey and attached certificate(s) of
compliance, 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 3, 2019.
Please note that stop loss insurance is considered health insurance in Alaska. Therefore, stop
loss insurance must be reported on this survey.
Department of Commerce, Community,
and Economic Development
DIVISION OF INSURANCE
P.O. Box 110805
Juneau, AK 99811-0805
Main: 907.465.2515
Fax: 907.465.3422
All companies that report any direct premiums or paid claims in the annual 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. 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: https://www.commerce.alaska.gov/web/ins/Resources/Bulletins.aspx
Select Bulletin B19-04
1. Open “2019 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 2019.xls”.
4. E-mail the completed survey and certificate(s) of compliance (for health care insurers)
as attachments to the division at insinfo@alaska.gov
If you have questions regarding the survey or instructions, contact Jake Lauten by phone, (907)
465-5471, or by e-mail at Jacob.Lauten@alaska.gov.
Dated this 18th day of March, 2019, in Juneau, Alaska.
___________________________________
Lori Wing-Heier
Director of Insurance