(a) A self-funded multiple employer welfare arrangement shall annually, before March 2, file with the director on forms prescribed by the director, a full and true statement of its financial condition, transactions, and affairs as of the preceding December 31, including

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Terms Used In Alaska Statutes 21.85.080

  • state: means the State of Alaska unless applied to the different parts of the United States and in the latter case it includes the District of Columbia and the territories. See Alaska Statutes 01.10.060
(1) a statement of financial condition;
(2) a statement of change in financial condition for the year accompanied by an actuarial opinion by a qualified actuary that includes

(A) a certification that the unpaid claim liability of the arrangement meets the requirements of Alaska Stat. § 21.18.08021.18.086;
(B) the recommended level of specific and aggregate stop-loss insurance the arrangement should maintain;
(C) a description of the actuarial soundness of the arrangement, including any recommended actions the arrangement should take to improve its actuarial soundness;
(3) a statement of the arrangement’s contribution rates for the next year;
(4) if the total payments to the arrangement for participation during the prior year of operations exceeded the sum of $2,000,000, certified financial statements for the prior two years, or for each year and partial year that the self-funded multiple employer welfare arrangement has been in business if less than two years;
(5) a report showing the number of participating employers and number of covered lives at the end of the year and contributions received during the year in the state;
(6) additional information the director determines is necessary in order to determine the financial integrity of the arrangement.
(b) A self-funded multiple employer welfare arrangement shall, within 60 days after the end of each quarter, file with the director, on forms prescribed by the director, a full and true statement of its financial condition, transactions, and affairs as of the preceding quarter, including

(1) a statement of financial condition;
(2) a statement of change in financial condition for the period since the end of the prior year;
(3) a report showing the number of participating employers and number of covered lives at the end of the quarter and contributions received during the quarter in the state;
(4) additional information the director determines is necessary in order to determine the financial integrity of the arrangement.
(c) A self-funded multiple employer welfare arrangement shall file with the director a copy of the arrangement’s Internal Revenue Service form 5500, including all attachments to the form.