In this chapter,
(1) “allowable benefit” means a benefit for medical care;
(2) “bona fide association” has the meaning given in AS 21.54.500;
(3) “claims liability” means the total of all incurred and unpaid claims for allowable benefits under a self-funded multiple employer welfare arrangement that are not reimbursed or reimbursable by stop-loss insurance, subrogation, or other sources;
(4) “health benefit plan” has the meaning given in AS 21.54.500;
(5) “multiple employer welfare arrangement” has the meaning given in 29 U.S.C. 1002;
(6) “qualified actuary” means an individual who
(A) is a member in good standing of the American Academy of Actuaries;
(B) meets the qualification standards of the American Academy of Actuaries to sign statements of actuarial opinion;
(C) is familiar with the valuation requirements under AS 21.18; and
(D) has not been disqualified by the director, after notice and hearing under AS 21.06.180, for
(i) a violation of this title or other law pertinent to the duties or responsibilities of a qualified actuary;
(ii) conviction of a fraudulent act;
(iii) conduct considered by the director to reflect incompetence or untrustworthiness;
(iv) resignation or removal as an actuary with a company or a consulting firm within the past five years due to acts or omissions indicated in a report of examination or due to failure to adhere to generally accepted actuarial standards; or
(v) failure to notify the director of an action taken against the actuary by an insurance regulator of another state for grounds that are substantially the same as a provision under this paragraph;
(7) “reserves” means the excess of assets of a self-funded multiple employer welfare arrangement minus the liabilities of the arrangement;
(8) “self-funded multiple employer welfare arrangement” or “arrangement” means a multiple employer welfare arrangement that does not provide for payment of benefits under the arrangement solely through a policy of insurance issued by one or more authorized insurance companies.
Structure Alaska Statutes
Chapter 85. Regulation of Multiple Employer Welfare Arrangements
Sec. 21.85.010. Certificate of authority required.
Sec. 21.85.030. Qualifications for a certificate of authority.
Sec. 21.85.040. Application for a certificate of authority.
Sec. 21.85.050. Minimum reserves.
Sec. 21.85.070. Contribution rates.
Sec. 21.85.080. Reporting requirements.
Sec. 21.85.090. Consumer information notice.