(1) "claim" means notice that an event, act or omission has occurred which may result in injury or damage for which an insured may be legally obligated to pay;
(2) "claimant" means a first-party claimant, a third-party claimant, or both, and includes the claimant's legal representative and includes a member of the claimant's immediate family if authorized by the claimant;
(3) "Consumer Price Index" means the data published annually in the Detailed Report by the United States Department of Labor, Bureau of Labor Statistics;
(4) "destination or delivery charges" means the charges for shipping a motor vehicle to a primary residence of the claimant or to where the motor vehicle is primarily operated;
(5) "first-party claimant" means a person asserting a right to payment under his or her own coverage;
(6) "frequency as to indicate a general business practice" means violation of any one standard committed on one or more percent of claims handled within a 12-month period, or the repeated violation of a single standard without reasonable explanation;
(7) "local market area" means the geographical area, in the closest proximity to the claimant's residence, in which two or more qualified dealers are located;
(8) "outside attorney" means an attorney who is in private practice and not an employee of a person transacting a business of insurance under AS 21;
(9) "person" means an individual, corporation, association, partnership, or other legal entity;
(10) "third-party claimant" means any person asserting a claim against any other person;
(11) "usual, customary, and reasonable, or prevailing charge basis" means that payment basis for a health insurance claim where the reasonable and prevailing charge for a medical care procedure, service, or supply item is determined by the lowest of the following amounts:
(A) the billed amount of the medical care provider's actual charges;
(B) the charge usually made by that provider for performing that procedure; or
(C) the customary charge based on a profile of charges made for the same medical procedure, service, or supply item in the same geographical area by other providers that have performed the same procedure or service or have provided the same supply item;
(12) "working days" means all calendar days except Saturdays, Sundays, all official federal holidays, and all official Alaska holidays.
AUTHORITY: AS 21.06.090; AS 21.36.125; AS 21.36.350
