(a) A corporation governed by this chapter shall also be subject to the following other provisions of District of Columbia insurance law, including any amendments or replacements thereof hereafter enacted:
(1) Sections 31-201 [repealed], 31-202, and 31-206, referring to general provisions of insurance regulation;
(2) Section 31-207, referring to general provisions of insurance regulation;
(3) Sections 31-5203 and 31-5204, referring to delivery (with each policy issued) of a copy of the insured’s application, and to the principal office, books, and records of insurance companies;
(4) Chapter 16 of this title, referring to prohibition against discrimination in the provision of insurance on the basis of an AIDS test;
(5) Chapter 42 of this title, referring to the applicability of, and definitions in, the Life Insurance Act;
(6) Sections 31-4301, 31-4302, 31-4303, 31-4305, 31-4308 [repealed], 31-4309 [repealed], 31-4310(b), 31-4311 [repealed], 31-4312 through 31-4317, 31-4322 [repealed], 31-4324 through 31-4328 [repealed], and 31-4329 through 31-4332, governing, in part, fees chargeable to, certificates of authority for, publication of false statements by, and licensing of agents acting for life insurance companies;
(7) Sections 31-4713 through 31-4715 [repealed], 31-4718 [repealed], and 31-4724 through 31-4730, referring, in part, to the prohibitions against discrimination, securities, operations, and policy provisions restricting access to optometrists and psychologists by life insurance companies;
(8) Sections 31-4401 through 31-4404, 31-4406, 31-4407, 31-4409, 31-4427, 31-4429, 31-4430, 31-4435 [repealed], 31-4439, 31-4440, and 31-4443 through 31-4452, referring, in part, to articles of incorporation, election of officers, permissible investments, bookkeeping, and consolidation/merger of domestic life insurance companies;
(9) Chapter 46 of this title, governing penalties for violations and severability with respect to the provisions cited in paragraphs 5 through 8 of this subsection;
(10) Chapter 38 of this title, requiring that certain individual and group health insurance policies cover a newborn child from the moment of birth;
(11) Chapter 54 of this title, creating the District of Columbia Life and Health Insurance Guarantee Association and authorizing it to assume, guarantee, and reinsure any policy issued by a member insurer which becomes potentially unable to fulfill its contractual obligations;
(12) Chapter 31 of this title, requiring certain group and individual health insurance policies to provide coverage for the medical and psychological treatment of alcohol abuse, drug abuse, and mental illness;
(13) Chapter 29 of this title, requiring a group or individual health insurance policy issued more than 120 days after March 7, 1991, to cover certain preventive cancer screens for women;
(14) Chapter 37 of this title, authorizing the Mayor to issue regulations establishing specific standards for Medicare supplement insurance policies;
(15) Chapter 12 of this title, establishing the Insurance Regulatory Trust Fund and requiring each insurer doing business in the District to deposit in the Fund a percentage amount to be used to defray expenses of the Insurance Administration;
(16) Chapter 13 of this title, authorizing and regulating delinquency proceedings by the Commissioner of Insurance and Securities [Commissioner of the Department of Insurance, Securities, and Banking] in the Superior Court of the District of Columbia against certain insurers;
(17) Chapter 15 of this title, establishing licensing and other requirements for managing general agents of certain insurers;
(18) Chapter 18 of this title, establishing licensing and other requirements for the assumed reinsurance business;
(19) Chapter 3 of this title, requiring insurers to file with the Mayor an accountant-prepared annual audit and other reports;
(20) Chapter 5 of this title, governing the circumstances under which a domestic insurer may obtain a credit for reinsurance ceded to another insurer;
(21) Chapter 19 of this title, governing an insurer’s filing with the Mayor and the National Association of Insurance Commissioners (“NAIC”) of an annual financial statement;
(22) Chapter 21 of this title, establishing standards for determining whether the continued operation of any insurer transacting business in the District might be hazardous to creditors, the general public, or policyholders, and authorizing the Mayor to order certain corrective actions after making such a determination;
(23) Chapter 14 of this title, governing examinations by the Mayor or any person subject to the District’s insurance laws;
(24) Chapter 7 of this title, governing certain acquisition, investment, security issuance, and other activities in the insurance industry, requiring the registration of insurers that are part of an insurance holding company system, regulating transactions within such a system, regulating the management of domestic insurers in such a system, and authorizing the Mayor to conduct examinations of insurers that are part of such a system;
(25) Chapter 49 of this title, requiring the submission to the Mayor of an annual opinion by a qualified actuary;
(26) Chapter 26 of Title 47, requiring an annual license or certificate of authority from the Commissioner of Insurance and Securities [Commissioner of the Department of Insurance, Securities, and Banking] for each insurer doing business in the District, requiring the filing of an annual statement by each such insurer, and imposing a tax on each such insurer’s at-risk business in the District;
(27) Chapter 20 of this title, requiring insurers to file with the Mayor annual risk-based capital reports;
(28) The Reasonable Health Insurance Ratemaking Reform Act of 2010, [Chapters 30A, 31C, and 33A of this title] [D.C. Law 18-360]; and
(29) Section 31-3461(a), making applicable sections 1251, 1252, and 1304 of the Patient Protection and Affordable Care Act, approved March 23, 2010 (124 Stat. 119; 42 U.S. C. §§ 18011, 18021 and 18024), and sections 2701 through 2709, 2711 through 2719A, and 2794 of the Public Health Service Act, approved July 1, 1944 (58 Stat. 682; approved July 1, 1944 (58 Stat. 682; 42 U.S.C. §§ 300gg, 300gg-1, 300gg-2, 300gg-3, 300gg-4, 300gg-5, 300gg-6, 300gg-7, 300gg-8, 300gg-9, 300gg-11, 300gg-12, 300gg-13, 300gg-14, 300gg-15, 300gg-15A, 300gg-16, 300gg-17, 300gg-18, 300gg-19, 300gg-19A, and 300gg-94 ), (collectively “federal health acts”) and any implementing rules issued pursuant to the federal health acts.
(b) Reference in the provisions cited in subsection (a) of this section to “insurers,” “companies,” or similar terms shall be deemed to include reference to a corporation governed by this chapter.
(Apr. 9, 1997, D.C. Law 11-245, § 4, 44 DCR 1158; Mar. 25, 2009, D.C. Law 17-369, § 2(b), 56 DCR 1346; Apr. 8, 2011, D.C. Law 18-360, § 503(a), 58 DCR 896; May 2, 2015, D.C. Law 20-265, § 105(b), 62 DCR 1529.)
1981 Ed., § 35-4703.
This section is referenced in § 31-3502, § 31-3510, and § 31-3518.
D.C. Law 17-369, in subsec. (a), deleted “; and” from the end of par. (25); substituted “; and” for a period at the end of par. (26), and added par. (27).
D.C. Law 18-360 deleted “and” from the end of par. (26); substituted “; and” for a period the end of par. (27); and added par. (28).
The 2015 amendment by D.C. Law 20-265 added (29) and made related changes.
Structure District of Columbia Code
Title 31 - Insurance and Securities
Chapter 35 - Hospital and Medical Services Corporations Regulation
§ 31–3502. Exclusivity of provisions
§ 31–3503. Applicability of other provisions
§ 31–3504. Application for certificate of authority
§ 31–3505. Requirements for issuance of certificate of authority
§ 31–3505.01. Community health reinvestment
§ 31–3506. Surplus requirements
§ 31–3506.01. Compliance and implementation of community health reinvestment obligations
§ 31–3507. Filing of provider contracts
§ 31–3508. Filing of subscriber contract forms and rates
§ 31–3512. Group subscriber contract standard provisions
§ 31–3514. Open enrollment. [Repealed]
§ 31–3514.01. Tax and related payments
§ 31–3514.02. Establishment of Healthy DC and Health Care Expansion Fund
§ 31–3515. Conversion to a for-profit entity
§ 31–3516. Conversion to a mutual company
§ 31–3517. Management contracts and service agreements
§ 31–3518. Directors and trustees
§ 31–3519. Reports to directors and trustees
§ 31–3520. Oversight role and fiduciary obligation of directors, officers, and employees
§ 31–3521. Sanctions for violations
§ 31–3523. General transition provisions