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- Alaska Statutes.
- Title 21. Insurance
- Chapter 36. Trade Practices and Frauds
- Section 125. Unfair Claim Settlement Practices.
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Section 122. Premium Financing.
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Section 128. Prompt Payment of Health Care Insurance Claims.
AS 21.36.125. Unfair Claim Settlement Practices.
- (a) A person may not commit any of the following acts or practices:
- (1) misrepresent facts or policy provisions relating to coverage of an insurance policy;
- (2) fail to acknowledge and act promptly upon communications regarding a claim arising under an insurance policy;
- (3) fail to adopt and implement reasonable standards for prompt investigation of claims;
- (4) refuse to pay a claim without a reasonable investigation of all of the available information and an explanation of the
basis for denial of the claim or for an offer of compromise settlement;
- (5) fail to affirm or deny coverage of claims within a reasonable time of the completion of proof-of-loss statements;
- (6) fail to attempt in good faith to make prompt and equitable settlement of claims in which liability is reasonably
clear;
- (7) engage in a pattern or practice of compelling insureds to litigate for recovery of amounts due under insurance
policies by offering substantially less than the amounts ultimately recovered in actions brought by those insureds;
- (8) compel an insured or third-party claimant in a case in which liability is clear to litigate for recovery of an amount
due under an insurance policy by offering an amount that does not have an objectively reasonable basis in law and fact
and that has not been documented in the insurer's file;
- (9) attempt to make an unreasonably low settlement by reference to printed advertising matter accompanying or included in
an application;
- (10) attempt to settle a claim on the basis of an application that has been altered without the consent of the insured;
- (11) make a claims payment without including a statement of the coverage under which the payment is made;
- (12) make known to an insured or third-party claimant a policy of appealing from an arbitration award in favor of an
insured or third-party claimant for the purpose of compelling the insured or third-party claimant to accept a
settlement or compromise less than the amount awarded in arbitration;
- (13) delay investigation or payment of claims by requiring submission of unnecessary or substantially repetitive claims
reports and proof-of-loss forms;
- (14) fail to promptly settle claims under one portion of a policy for the purpose of influencing settlements under other
portions of the policy;
- (15) fail to promptly provide a reasonable explanation of the basis in the insurance policy in relation to the facts or
applicable law for denial of a claim or for the offer of a compromise settlement; or
- (16) offer a form of settlement or pay a judgment in any manner prohibited by AS 21.89.030
;
- (17) violate a provision contained in AS 21.07.
- (b) The provisions of this section do not create or imply a private cause of action for a violation of this section.
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