(a) This chapter shall apply to policies and certificates of insurance that are health benefit plans as defined under § 31-3271(4) that are issued 90 days after April 8, 2011. This chapter shall not apply to short-term limited duration health benefit plans.
(b) Small group market requirements under this chapter shall apply to a health benefit plan offered by a multiple employer welfare arrangement, including an association or any other entity, if the plan covers an employee of a small employer, as that term is defined in§ 31-3301.01(42), in the District.
(c) Individual market requirements under this chapter shall apply to a health benefit plan offered by a multiple employer welfare arrangement, including an association or any other entity, if the plan covers an individual in the District who is not an employee or dependent of a participating employer.
(Apr. 8, 2011, D.C. Law 18-360, § 111, 58 DCR 896; Mar. 22, 2019, D.C. Law 22-266, § 3(a), 66 DCR 1423.)
For temporary (90 days) amendment of this section, see § 3(a) of Health Insurance Marketplace Improvement Emergency Amendment Act of 2018 (D.C. Act 22-526, Dec. 10, 2018, 65 DCR 13424).
For temporary (225 days) amendment of this section, see § 3(a) of Health Insurance Marketplace Improvement Temporary Amendment Act of 2018 (D.C. Law 22-251, Mar. 15, 2019, 66 DCR 975).
Structure District of Columbia Code
Title 31 - Insurance and Securities
Chapter 33A - Health Insurance Ratemaking
§ 31–3311.01. Ratemaking principles and standards
§ 31–3311.02. Aggregate medical loss ratios; dividend; and rating bands
§ 31–3311.03. Loss ratio disclosure
§ 31–3311.03a. Essential health benefits
§ 31–3311.03b. Underwriting ratemaking criteria
§ 31–3311.04. Annual rate filing requirement
§ 31–3311.05. Commissioner’s authority to rescind approved rates