Any company from any state can enter our Alaska market. However, the insurance company's financial health, premiums, and policies are subject to approval by the Alaska Division of Insurance. That's a fact. To state the obvious again, Premera is a Washington based company. Premera is already "selling across state lines". How is this not clear?
 The problem is that the Alaska individual market is small, has very high medical costs, and has more than it's share of sick people. The higher the premiums go, the more healthy people choose to take the high stakes gamble of going without insurance and pay the trivial penalty. Those in the middle of a high cost medical treatment certainly aren't going to drop their insurance, if they can pay their premium somehow. So premiums go yet higher, and the problem compounds itself. Losing healthy people with premium subsidies from the risk pool is not going to improve our situation.