Rate & Form Filing

Life/Health Checklists

• ACA Benchmark Plan Brochure
• ACA Benchmark Plan
• ACA Filing Guidance 2025
• Air Ambulance Form and Rate Filing
• Association Guidance
• Association Filing Checklist
• Credit Checklist
• Dental Vision Auditory Coverage Law
  (Effective 3/1/2016)
• General Filing Submission Checklist
• Group Health Checklist (3/23/2017)
• HCC Spreadsheet
• Individual Annuities Checklist
• Individual Health Checklist (3/24/2017)
• Individual Life Checklist
• Individual Long-Term Care Checklist
• Medicare Supplement Checklist
• NAIC Transmittal
• NAIC Transmittal Instructions
• Small Employer Basic and Standard Plan Benefits
• Stop Loss Checklist
• Variable Annuities Checklist
• Variable Life Checklist
• Rates and Forms That Must Be Filed

Property/Casualty Checklists

• P/C Forms Checklist
• P/C Rates Checklist
• Title Rates Checklist
• Homeowners Forms Checklist
• Personal Automobile Forms Checklist
• Personal Automobile Rates Checklist
• Alaska Compliance Certificate For Property And Casualty File And Use Form Filings

Loss Cost Multiplier Form

Loss Cost Filing Adoption and Worksheet

Alaska Division of Insurance is adopting the NAIC Casualty Actuarial and Statistical (C) Task Force’s revised loss cost multiplier (LCM) filing form. This form is a required filing form when insurers are filing to use an advisory organization’s loss costs.

The new LCM form has the following benefits:

• The new form combines the multiple prior forms into one document:
• The form can be used for any property and casualty (P&C) line of business (including workers’ compensation).
• It requires information about the advisory organization’s filing reference numbers, so the separate form is no longer needed.
• It includes the optional expense constant, so the separate form is no longer needed.
• Modifications are made to the form based on regulatory experience with reviewing the former LCM forms. The form shows information for the prior filing in addition to the current filing so the reviewer can focus on the changes being proposed.
• The premium discount, when applicable, is now calculated as an expense alongside commissions and other expenses, as opposed to an after-the-fact, off-balance adjustment to the LCM.

Alaska Rule of Civil Procedure 82

• Bulletin B96-04
• Bulletin B20-16

Terrorism Risk Insurance Act, as Amended

• Bulletin B08-01
• NAIC Model Disclosure No. 1
• NAIC Model Disclosure No. 2