Fill in Your Alaska 08 309 Form Access Document Now

Fill in Your Alaska 08 309 Form

The Alaska 08 309 form serves as the Third Party Administrator Quarterly Filing Form, mandated by Alaska Statute 21.27.630. This form is essential for anyone acting as a Third-Party Administrator (TPA) within the state, ensuring compliance with state regulations. To stay compliant, it is important to fill out the form accurately and submit it on time.

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Overview

The Alaska 08 309 form serves as a crucial document for Third-Party Administrators (TPAs) operating within the state. This form is mandated by Alaska Statute 21.27.630, which stipulates that any individual or entity acting as a TPA must be registered in Alaska. Compliance is not merely a formality; it ensures that TPAs adhere to state regulations and maintain transparency in their operations. Every quarter, on January 1, April 1, July 1, and October 1, TPAs are required to submit specific information to the Director of the Division of Insurance. This includes a list of current employees engaged in business activities in Alaska, a record of insurers under contract, and any additional information requested by the Director. The form also captures essential details about the TPA, such as its physical and mailing addresses, business contact numbers, and web presence. Furthermore, for insured plans, the form requires the identification of insurers represented by the TPA, including their NAIC co-code numbers. This level of detail not only facilitates regulatory oversight but also helps in safeguarding the interests of consumers in Alaska. Key personnel responsible for TPA administrative functions must be identified, ensuring accountability within the organization. Ultimately, the Alaska 08 309 form is a vital tool for maintaining the integrity of the insurance landscape in the state.

Alaska 08 309 Example

Document Specifics

Fact Name Description
Form Title The form is officially titled the "Third Party Administrator Quarterly Filing Form."
Governing Law This form is governed by Alaska Statutes 21.27.630 and 21.27.650(a)(3).
Filing Frequency TPAs must submit this form quarterly on January 1, April 1, July 1, and October 1.
Required Information The form requires a list of current employees and insurers under contract, along with any additional information requested by the Director.
Contact Information It must include the TPA's business physical address, mailing address, and contact numbers.
Compliance Signature A signature from the Compliance Officer is required to validate the information provided on the form.
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