ALSK INS Pharmacy Benefit Managers

Updated on: Jun 18, 2025

Latest Event


  • Jun. 2025 ALSK INS Rule Adoption
  • On Jun. 13, 2025, ALSK INS issued notice of adopted rule, effective on Jul. 13, 2025.
  • Regulation amendments on PBMs will be published in State Register 255, in Oct. 2025.

On Feb. 12, ALSK INS issued pharmacy benefit manager amendments.

  • ALSK INS proposed regulation amendments re pharmacy benefit managers (PBMs).
  • Amends Administrative code ALSK LEG 3-31.060, ALSK LEG 3-31.020, ALSK LEG 3-23.
  • Details registration process, record keeping requirements, and outlines applicable fees.
  • Proposed Amendments
  • Establishes process for registration to become a PBM by filing director provided forms.
  • Qualification requirements include trustworthiness as defined by law who have not committed acts worthy of license suspension, must also make appropriate disclosures.
  • Applicants must submit required documentation, and update changes within 30 days.
  • Established record keeping requirements for PBMs including complete books and records of claims reimbursements for each insurer, available for director review.
  • Records must be retained for the entirety of insurer relationship, and 3 years after.
  • PBMs who are found to have violated any applicable provisions are subject to a civil penalty up to $10,000 and up to $25,000 if in willful violation, or potential suspension.
  • Adds pharmacy benefit managers to a list of professional licenses with licensing fees.
  • Raises the fee for initial application or biannual renewal of license from $300 to $5000.
  • Standardizes fee for an individual exemption as a manager or administrator as $1000.
  • Consultation
  • In person hearing re assessments will be held on Mar. 5, 2025, in Anchorage, Juneau.
  • Comments on proposed amendments to regulations may be made by Mar. 17, 2025.
  • Jun. 2025 ALSK INS Rule Adoption
  • On Jun. 13, 2025, ALSK INS issued notice of adopted rule, effective on Jul. 13, 2025.
  • Regulation amendments on PBMs will be published in State Register 255, in Oct. 2025.
Regulators
ALSK INS
Entity Types
IB; Ins
Reference
PR, Nt, 6/13/2025; Nt, RF, 2/12/2025; Citation: *ALSK LEG* 3-31.060, 3-31.020, 3-23;
Functions
Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations; Product Administration; Record Retention; Registration/Licensing; Reporting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health; PBM
Rule Type
Final
Regions
Am
Rule Date
Feb 12, 2025
Effective Date
Jul 13, 2025
Rule ID
243586
Linked to
N/A
Reg. Last Update
Jun 13, 2025
Report Section
US Insurance