Alaska Administrative Code
Title 3 - Commerce, Community, and Economic Development
Part 2 - Division of Insurance
Chapter 28 - Life, Health, Variable, and Related Insurance
Article 5 - Health Insurance Marketed as Medicare Supplements
3 AAC 28.452 - Compliance with 42 U.S.C 1395ss (Omnibus Budget Reconciliation Act of 1990)
Current through February 24, 2025
(a) A person who transacts the business of insurance and who provides medicare supplement policies shall comply with all provisions of 42 U.S.C. 1395 ss, as amended by the Omnibus Budget Reconciliation Act of 1990.
(b) Certification of compliance with the requirements of (a) of this section must be in the form set out at the end of this subsection. The form must be completed in accordance with the following instructions:
MEDICARE SUPPLEMENT INSURANCE EXPERIENCE
EXHIBIT
For the year ended December 31, 20 _________
________________________
________________________
________________________
NAIC Group Code _________ NAIC Company Code _________
Person Completing This Exhibit _________
To be filed by June 30 following the Annual Statement Filing _________ Incurred Claims _________ Classification Premiums Earned Amount % of Premiums
Earned _________
Experience on individual policies 1. Policies issued through 20 _________ Reporting state . . . . . Nationwide . . . . . 2. Policies issued through 20 _________ Reporting state . . . . . Nationwide . . . . . Experience on group policies 1. Policies issued through 20 _________ Reporting state . . . . . Nationwide . . . . . 2. Policies issued through 20 _________ Reporting state . . . . . Nationwide . . . . . _________
The undersigned officer hereby certifies that the company named above has complied with the requirements contained in 42 U.S.C. 1395ss as amended by Omnibus Budget Reconciliation Act of 1990.
_________
Signature
_________
Title and Name (Please Type)
In 2010 the revisor of statutes, acting under AS 01.05.031, renumbered former AS 21.89.060 as AS 21.96.060. As of Register 196 (January 2011), the regulations attorney made a conforming technical revision under AS 44.62.125(b)(6), to the authority citation that follows 3 AAC 28.452, so that the citation to former AS 21.89.060 now refers to the renumbered statute, AS 21.96.060.
Authority:AS 21.06.090
AS 21.42.130
AS 21.96.060