Advertising with us can place you in front of thousands of visitors a day. Learn more!
- Alaska Statutes.
- Title 21. Insurance
- Chapter 55. State Health Insurance
- Section 220. Operation of the Plan.
previous: Section 210
. Duties of Plan Administrator.
next: Section 300
. Eligibility For State Health Insurance.
AS 21.55.220. Operation of the Plan.
- (a) Upon notification of eligibility under AS 21.55.320
, a person may enroll in a state plan by payment of the appropriate state plan premium to the plan administrator.
- (b) An employer that has in its employ one or more eligible persons enrolled in a state plan may make all or a portion of
a state plan premium payment directly to the plan administrator.
- (c) Each member of the association shall share the losses due to claims expenses of the state plans issued or approved for
issuance by the association, and shall share in the operating and administrative expenses incurred or estimated to be
incurred by the association incident to the conduct of its affairs. Claims expenses of the state plan that exceed the
premium payments allocated to the payment of benefits shall be the liability of the members. Each member shall share in
the claims expense of the state plans and operating and administrative expenses of the association in an amount equal
to the ratio of the member's total major medical premiums, received from or
on behalf of state residents, as divided by the total major medical premiums received by all
members from or on behalf of state residents, as determined by the director.
- (d) The board shall make an annual determination of each member's liability, if any, and may make an annual fiscal year
end assessment if necessary. The board may also provide for interim
assessments against the members as may be necessary to assure the financial capability of the association in meeting
the incurred or estimated claims expenses of the state plans and operating and administrative expenses of the
association until the association's next annual fiscal year end assessment. Payment of an assessment is due within 30
days after receipt by a member of written notice of a fiscal year end or interim assessment. A member who fails to pay a
fiscal year end or interim assessment as required in this subsection (1) shall pay a civil penalty to the director in
the amount of $100 for each day the member fails to pay the required assessment, and (2) may have the member's
certificate of authority revoked by the director. A member that ceases to do business in the state remains liable for assessments until
the board determines under (c) of this section that no assessment is due. The board may decline to levy an assessment against a member if the assessment would be minimal. Assessments
paid by a member are a general expense of the member.
- (e) Net gains, if any, from the operation of the state plans shall be held at interest and used by the association to
offset future losses due to claims expenses of a state plan or allocated to reduce state plan premiums.
- (f) A member may offset 50 percent of the amount of the assessment under this section as a premium tax credit
reducing the premium tax payable by the member under AS 21.09.210 . The offset shall apply to the tax levied for the calendar year
following an annual determination of each member's liability under (d) of this section. The offset may not reduce the premium tax
payable by a member to less than zero or create a premium tax credit for the member. An unused offset may be carried over to the
immediately following calendar year. An offset made under this subsection is not subject to AS 21.09.270 .
Article 04. ENROLLMENT IN THE STATE HEALTH INSURANCE PLAN
All content © 2008 by Touch
N' Go/Bright Solutions, Inc.
Note to HTML Version:
This version of the Alaska Statutes is current through December, 2007. The Alaska Statutes were automatically converted to HTML from a plain text format. Every effort has been made to ensure their accuracy, but this can not be guaranteed. If it is critical that the precise terms of the Alaska Statutes be known, it is recommended that more formal sources be consulted. For statutes adopted after the effective date of these statutes, see, Alaska State Legislature
If any errors are found, please e-mail Touch N' Go systems at E-mail. We
hope you find this information useful.