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Alaska Statutes Title 21. Insurance § 21.07.180. Compliance and enforcement

Current as of January 01, 2025 | Updated by Findlaw Staff

<Text of section effective January 1, 2027.>

(a) The director shall monitor compliance with the provisions of AS 21.07.100--21.07.180.

(b) The director shall conduct examinations of health care insurers in accordance with AS 21.06.120--21.06.230 to ensure compliance with AS 21.07.100--21.07.180.  At least once every two years, the director shall conduct the examinations, which may include reviewing

(1) prior authorization response times and adherence to specified time frames;

(2) accuracy and completeness of prior authorization requirements and restrictions published on the Internet website of the health care insurer;  and

(3) consistency of prior authorization practices by all vendors, utilization review organizations, and third-party contractors.

(c) If a health care insurer does not comply with AS 21.07.100--21.07.180, the director may impose penalties, including a penalty for each instance of noncompliance, an order to rectify deficiencies within a specified time frame, or, for persistent or severe violations, suspension or revocation of the health care insurer's certificate of authority.  The director shall impose penalties based on the nature and severity of the noncompliance, with consideration given to the health care insurer's history of adherence to the requirements of AS 21.07.100--21.07.180 and efforts to remedy violations.

(d) The director shall adopt regulations establishing penalties for noncompliance with AS 21.07.100--21.07.180.  The civil penalty for a single instance of noncompliance may not exceed $25,000.

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Cite this article: FindLaw.com - Alaska Statutes Title 21. Insurance § 21.07.180. Compliance and enforcement - last updated January 01, 2025 | https://codes.findlaw.com/ak/title-21-insurance/ak-st-sect-21-07-180/

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