Section 21.87.180. Filing and approval of agreements and contracts.

   (a) A service corporation may not issue or use a basic form of service agreement or subscriber's contract, or application, identification, supplement, or endorsement to be connected with the agreement or contract, until the form has been filed with and approved by the director. This provision does not apply to riders, endorsements, or other forms of unique character designed for and used with relation to a particular subject.
   (b) The director shall approve the form unless disapproved on one or more of the grounds set out in (c) of this section.  If not approved or disapproved by order transmitted to the filing service corporation within 30 days after the date filed, the form shall be considered to have been approved.
   (c) The director shall disapprove a proposed form referred to in (a) of this section, that
        (1) is in any respect not in compliance with or in violation of law;
        (2) contains an inconsistent, ambiguous, or misleading clause, or exceptions and conditions that deceptively affect the services or benefits purported to be provided for in the general terms of the agreement or contract;
        (3) has any indication of its provisions which is misleading; or
        (4) is printed or otherwise reproduced in a manner that renders a provision of the form substantially illegible.
   (d) In an order of disapproval the director shall state the particulars of the grounds for disapproval.
   (e) A filing under this section is open to public inspection after the date the filing becomes effective.

Authorities

21.86.070;21.87.140;21.87.150;21.87.160

Notes

Implemented As

3 AAC 28.410
3 AAC 28.470
3 AAC 31.200
3 AAC 31.205
3 AAC 31.210
3 AAC 31.215
3 AAC 31.217
3 AAC 31.250
3 AAC 31.299

References

3 AAC 31.200
3 AAC 31.215
3 AAC 31.217
AS 21.86.070 Evidence of coverage; charges for health care services.
AS 21.87.140 Medical service agreements.
AS 21.87.150 Hospital service agreements.
AS 21.87.160 Subscriber's contracts.

History

(Sec. 1 ch 120 SLA 1966; am Sec. 105 ch 81 SLA 1997; am Sec. 25 ch 30 SLA 2009)