Alaska Statutes
Chapter 86. Health Maintenance Organizations
Sec. 21.86.100. Complaint system; report.

(a) A health maintenance organization shall establish and maintain a complaint system to provide reasonable procedures for the resolution of written complaints initiated by its enrollees. A complaint system must provide a procedure for forwarding to the commissioner of health a duplicate copy of a complaint relating to patient care or facility operation.
(b) A health maintenance organization shall annually, on or before March 1, submit to the director, in a form prescribed by the director, a report covering the preceding calendar year. The health maintenance organization shall provide a copy of this report to the commissioner of health. The report submitted under this subsection must include
(1) a description of the procedures used in its complaint system;
(2) the total number of complaints handled through its complaint system and a compilation of the causes underlying the complaints filed; and
(3) the number, amount, and disposition of malpractice claims made by an enrollee that were settled during the year by the health maintenance organization; information concerning malpractice claims shall be held confidential by the director and by the commissioner of health, and is not subject to public disclosure.
(c) The director or the commissioner of health may, at any time during normal business hours, examine the complaint system in any place of business of the health maintenance organization in order to determine compliance with this section.

Structure Alaska Statutes

Alaska Statutes

Title 21. Insurance

Chapter 86. Health Maintenance Organizations

Sec. 21.86.010. Establishment of health maintenance organizations.

Sec. 21.86.020. Issuance of certificate of authority; approval of changes.

Sec. 21.86.030. Powers of a health maintenance organization.

Sec. 21.86.040. Governing body; enrollee participation.

Sec. 21.86.045. Biographical affidavits.

Sec. 21.86.050. Fiduciary responsibility.

Sec. 21.86.060. Provision of services.

Sec. 21.86.070. Evidence of coverage; charges for health care services.

Sec. 21.86.075. Chiropractic health care services.

Sec. 21.86.078. Choice of health care provider.

Sec. 21.86.080. Annual statement; additional reports.

Sec. 21.86.090. Information to enrollees.

Sec. 21.86.100. Complaint system; report.

Sec. 21.86.110. Recovery of health care costs.

Sec. 21.86.120. Return of agreement.

Sec. 21.86.130. Investments.

Sec. 21.86.140. Protection against insolvency.

Sec. 21.86.150. Prohibited practices.

Sec. 21.86.160. Regulation of agents.

Sec. 21.86.170. Powers of insurers and of hospital or medical service corporations.

Sec. 21.86.180. Examinations.

Sec. 21.86.190. Suspension or revocation of certificate of authority.

Sec. 21.86.200. Administrative procedures.

Sec. 21.86.210. Rehabilitation, liquidation, or conservation.

Sec. 21.86.220. Regulations.

Sec. 21.86.230. Fees.

Sec. 21.86.240. Taxation.

Sec. 21.86.250. Penalties and enforcement.

Sec. 21.86.260. Statutory construction and relationship to other law.

Sec. 21.86.270. Filings and reports as public documents.

Sec. 21.86.290. Contract authority for commissioner of health.

Sec. 21.86.300. Acquisition of control or merger of a health maintenance organization.

Sec. 21.86.310. Dual choice.

Sec. 21.86.900. Definitions.