Section 3 AAC 21.010 - Forms; general requirements(a) Forms A - F are intended to be guides in the preparation of the statements required under AS 21.22. They are not intended to be blank forms that are to be filled in. A statement filed must contain the numbers and captions of all items indicated on a form, but the text of the items may be omitted if the answers to them are prepared to indicate the coverage of the items without the necessity of referring to the text of the items or the instructions to them. All instructions, whether appearing under the items of the form or elsewhere in it, are to be omitted. Unless expressly provided otherwise, if an item is not applicable or the answer to it is in the negative, an appropriate explanation to that effect must be made.(b) A complete copy of a statement required under AS 21.22, including exhibits and all other papers and documents filed as a part of it, must be filed with the director electronically and one hard copy by personal delivery or mail addressed to: Director, division of insurance of the State of Alaska, 550 West 7th Avenue, Anchorage, Alaska 99501-3567. Each copy must be signed in the manner prescribed on the form. If the signature of a person is affixed under a power of attorney or other similar authority, a copy of the power of attorney or other authority must also be filed with the statement.(c) A statement must be prepared in electronic form. A statement must be clear, easily readable, and suitable for review and reproduction. Debits in credit categories and credits in debit categories must be designated so they are clearly distinguishable on reproduced versions. A statement must be in the English language and monetary value must be stated in United States currency. If an exhibit or other paper or document filed with the statement is in a foreign language, it must be accompanied by a translation into the English language and a monetary value normally shown in a foreign currency must be converted into United States currency.(e) If an applicant requests a hearing on a consolidated basis under AS 21.22.030, in addition to filing Form A with the director, the applicant must file a copy of Form A with the National Association of lnsurance Commissioners in electronic form.Eff. 6/30/77, Register 62; am 10/21/92, Register 124; am 1/12/95, Register 133; am 3/11/98, Register 145; am 11/26/2015, Register 216, January 2016Authority:AS 21.06.090
AS 21.22.030
AS 21.22.130
AS 21.96.080