Code of the District of Columbia
Official codified DC law sourced from the DC Council Open Law Library (public domain). 21,163 sections indexed.
- § 31-2701Definitions.
- § 31-2702Applicability of chapter.
- § 31-2703Making of rates.
- § 31-2704Filing requirements of individual companies; adjustment of rates; removal of discriminations.
- § 31-2705Cooperative and concerted action authorized.
- § 31-2706Filing requirements of organizations of companies; unfair practices; supervision of rating organizations.
- § 31-2707Information to be furnished to insured or Commissioner; grievance procedure.
- § 31-2708Additional powers and duties of Commissioner.
- § 31-2709Violations.
- § 31-2710Judicial proceedings to contest actions of Commissioner.
- § 31-2711[Omitted]
- § 31-2712[Omitted]
- § 31-2713[Omitted]
- § 31-2714Exemptions and limitations.
- § 31-2801Definitions.
- § 31-2802Covered services.
- § 31-2803Emergency department HIV screening.
- § 31-2901Definitions.
- § 31-2902Payable benefits.
- § 31-2903Applicability.
- § 31-2931Coverage.
- § 31-2951Definitions.
- § 31-2952Coverage for prostate cancer screening.
- § 31-2953Applicability.
- § 31-2954Regulations.
- § 31-2991Closed claim analysis.
- § 31-2993.01Definitions.
- § 31-2993.02Covered trials.
- § 31-2993.03Right to file grievance.
- § 31-2995.01Definitions.
- § 31-2995.02Chemotherapy pill coverage.
- § 31-2995.03Applicability to group health plans.
- § 31-2996.01Definitions.
- § 31-2996.02Dependent child coverage.
- § 31-2996.03Limitations on other coverage.
- § 31-3001Definitions.
- § 31-3002Payable benefits.
- § 31-3003Nondiscrimination.
- § 31-3004Applicability.
- § 31-301Definitions.
- § 31-3011Conditions for discontinuance of class of health insurance policies.
- § 31-3012Rules.
- § 31-3013Application.
- § 31-302General requirements for filing audited financial reports and audit committee appointments; extensions.
- § 31-303Contents of annual audited financial report.
- § 31-304Designation of independent certified public accountant.
- § 31-305Qualifications of independent certified public accountant.
- § 31-306Consolidated or combined audits.
- § 31-307Scope of audit and report of independent certified public accountant.
- § 31-308Notification of adverse financial condition.
- § 31-309Communication of internal control related matters noted in audit.
- § 31-310Accountant’s letter of qualifications.
- § 31-3101Definitions.
- § 31-3102Coverage.
- § 31-3103Drug abuse and alcohol abuse benefits.
- § 31-3104Mental illness benefits.
- § 31-3105Exemptions.
- § 31-3106Certification of nonhospital residential facilities and outpatient treatment facilities.
- § 31-3107Preservation of certain benefits.
- § 31-3108Notification of coverage and benefits.
- § 31-3109Filing and rate requirements.
- § 31-311.01Requirements for audit committees.
- § 31-311.02Conduct of insurer in connection with the preparation of required reports and documents.
- § 31-311.03Management’s report of internal control over financial reporting.
- § 31-311Definition, availability, and maintenance of independent certified public accountant workpapers.
- § 31-3110Health maintenance organizations.
- § 31-3111Duties of Mayor.
- § 31-3112Excluded programs.
- § 31-312Exemptions and effective dates.
- § 31-313Canadian and British companies.
- § 31-3131Definitions.
- § 31-3132Prompt payment.
- § 31-3133Retroactive denial of reimbursement.
- § 31-3134Provider panels.
- § 31-3135Claims payment report.
- § 31-3136Penalties.
- § 31-3137Rules and regulations.
- § 31-3138Applicability.
- § 31-314Applicability.
- § 31-3151Definitions.
- § 31-3152Procedures for voluntary withdrawal by carriers.
- § 31-3153Judicial review; mandamus.
- § 31-3154Regulations.
- § 31-3161Prohibition on gender-based discrimination in rate making.
- § 31-3162Rules.
- § 31-3163Application.
- § 31-3171.01Definitions.
- § 31-3171.02Establishment and purpose.
- § 31-3171.03District of Columbia Health Benefit Exchange Authority Fund.
- § 31-3171.04Authority duties and powers.
- § 31-3171.05Executive board establishment and membership.
- § 31-3171.06Powers and duties of executive board.
- § 31-3171.07Advisory board.
- § 31-3171.08Executive director and Authority staff.
- § 31-3171.09Health benefit plan certification.
- § 31-3171.09aDistribution of individual and small group health benefit plans.
- § 31-3171.09bSale, solicitation, and negotiation by insurance producers.
- § 31-3171.10Conflicts of interest.
- § 31-3171.11Open meetings.
- § 31-3171.12Limitation of liability.
- § 31-3171.13Relation to other laws.
- § 31-3171.14Powers of the Mayor.
- § 31-3171.15Dissolution of the Authority.
- § 31-3171.16Implementation and reports.
- § 31-3171.17Rules.
- § 31-3171.18Applicability.
- § 31-3201Standardized uniform health insurance claims forms.
- § 31-3231Definitions.
- § 31-3232Uniform consultation referral forms.
- § 31-3233Regulations.
- § 31-3234Applicability.
- § 31-3251Definitions.
- § 31-3252Application for becoming credentialed.
- § 31-3253Penalties.
- § 31-3254Regulations.
- § 31-3255Applicability.
- § 31-3271Definitions.
- § 31-3272Coverage, notice, applicability, and regulations.
- § 31-3301.01Definitions.
- § 31-3302.01Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage.
- § 31-3302.02Special rules for network plans.
- § 31-3302.03Application of financial capacity limits.
- § 31-3302.04Market requirements.
- § 31-3302.05Renewability of individual health insurance coverage.
- § 31-3302.06Fair market provision.
- § 31-3302.07Regulations establishing standards.
- § 31-3302.08Applicability.
- § 31-3302.09Construction.
- § 31-3303.01Application of subchapter.
- § 31-3303.02Availability of health benefit plans to small employers.
- § 31-3303.03Renewability.
- § 31-3303.04Reference to plan sponsor.
- § 31-3303.05Coverage.
- § 31-3303.06Availability.
- § 31-3303.07Limitation on preexisting condition exclusion period.
- § 31-3303.08Disclosure of information.
- § 31-3303.09Eligibility to enroll.
- § 31-3303.10Exclusions.
- § 31-3303.11Rules used to determine group size.
- § 31-3303.12Affiliation period.
- § 31-3303.13Alternative methods.
- § 31-3303.14Applicability.
- § 31-3311.01Ratemaking principles and standards.
- § 31-3311.02Aggregate medical loss ratios; dividend; and rating bands.
- § 31-3311.03Loss ratio disclosure.
- § 31-3311.03aEssential health benefits.
- § 31-3311.03bUnderwriting ratemaking criteria.
- § 31-3311.04Annual rate filing requirement.
- § 31-3311.05Commissioner’s authority to rescind approved rates.
- § 31-3311.06Post-claims underwriting and prior approval for rescission, cancellation, or limitation.
- § 31-3311.07Public records.
- § 31-3311.08Annual report and recommendations.
- § 31-3311.09Rules.
- § 31-3311.10Application.
- § 31-3311.11Definitions.
- § 31-3401Definitions.
- § 31-3402Establishment of health maintenance organizations.
- § 31-3403.01Premium tax.
- § 31-3403Issuance of certificate of authority.
- § 31-3404Powers of health maintenance organizations.
- § 31-3405Fiduciary responsibilities.
- § 31-3406Quality assurance program.
- § 31-3407Requirements for group contract, individual contract, and evidence of coverage.
- § 31-3408.01Compliance with other laws.
- § 31-3408Annual report.
- § 31-3409Information to enrollees.
- § 31-3410Grievance procedures
- § 31-3411Investments.
- § 31-3412Protection against insolvency.
- § 31-3413Uncovered expenditures insolvency deposit.
- § 31-3414Enrollment period; replacement coverage in the event of insolvency.
- § 31-3415Filing requirements for rating information.
- § 31-3416Regulation of health maintenance organization producers.
- § 31-3417Powers of insurance corporations.
- § 31-3418Examinations.
- § 31-3419Suspension or revocation of certificate of authority.
- § 31-3420Rehabilitation, liquidation, or conservation of health maintenance organizations.
- § 31-3421Summary orders and supervision.
- § 31-3422Regulations.
- § 31-3423Penalties and enforcement.
- § 31-3424Statutory construction and relationship to other laws.
- § 31-3425Filings and reports as public documents.
- § 31-3426Confidentiality of medical information and limitation of liability.
- § 31-3427Acquisition of control of or merger of a health maintenance organization.
- § 31-3428Coordination of benefits.
- § 31-3429Point of service plan.
- § 31-3430Insolvency protection; assessment.
- § 31-3431Principal office, books, records, and files of the health maintenance organization to be in the District.
- § 31-3451.01Definitions.
- § 31-3451.02RBC reports.
- § 31-3451.03Company Action Level Event.
- § 31-3451.04Regulatory Action Level Event.
- § 31-3451.05Authorized Control Level Event.
- § 31-3451.06Mandatory Control Level Event.
- § 31-3451.07Hearings.
- § 31-3451.08Confidentiality; prohibition on announcements; prohibition on use in rate making.
- § 31-3451.09Foreign health organizations.
- § 31-3451.10Supplemental provisions; rules; exemption.
- § 31-3451.11Immunity.
- § 31-3451.12Notices.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.