District of Columbia Code
Chapter 35 - Hospital and Medical Services Corporations Regulation
§ 31–3504. Application for certificate of authority

(a) No corporation subject to the provisions of this chapter, whether organized pursuant to the laws of the District of Columbia, or of any state, or by act of the Congress of the United States, shall issue subscriber contracts until the Mayor has authorized it to do so by issuance of a certificate of authority.
(b) Application for such certificate of authority shall be made on forms to be supplied by the Mayor containing such information as the Mayor shall deem necessary. Each application for such certificate of authority, including each application for renewal, shall contain payment of a fee of $200 to the District of Columbia, which shall be collected by the Commissioner of the Department of Insurance, Securities, and Banking and shall be accompanied by copies of the following documents, duly certified by an executive officer of such corporation:
(1) Articles of incorporation, with all amendments thereto;
(2) Bylaws, with all amendments thereto;
(3) Each contract form executed or proposed to be executed by and between the corporation and any hospital, physician, or other medical service provider embodying the terms under which hospital and medical service is to be furnished to subscribers;
(4) Each form of subscriber contract issued or proposed to be issued, together with a table of rates charged, or proposed to be charged, including actuarial justifications, to subscribers;
(5) A financial statement of the corporation, which shall include the amount of each contribution paid or agreed to be paid to the corporation for working capital, the name or names of each contributor, and the terms of each contribution;
(6) A risk-based capital report prepared in the manner prescribed by any risk-based capital (“RBC”) regulations for hospital and medical services corporations promulgated by the Mayor;
(7) A list of the names and addresses and biographical information for the members of the board of directors, or board of trustees, and for the officers of the corporation;
(8) A statement of the geographical area in which the corporation proposes to operate; and
(9) Any other information or documents the Mayor deems necessary to assure compliance with this chapter.
(c) In addition, if the applicant is a foreign corporation:
(1) It shall provide the Mayor with an instrument authorizing service of process on the Mayor in accordance with § 31-4323;
(2) It shall satisfy the Mayor that the corporation is duly organized under the laws of the state under whose laws it professes to be organized, and is authorized to do the business it is transacting or proposes to transact; and
(3) It shall satisfy the Mayor that its funds are invested in accordance with the laws of its domicile and in securities or property which afford a degree of financial security substantially equal to that required for a corporation organized under the laws of the District of Columbia, and that it has a surplus at least equal to that required to be maintained by corporations authorized to do business pursuant to the provisions of this chapter.
(Apr. 9, 1997, D.C. Law 11-245, § 5, 44 DCR 1158; Mar. 24, 1998, D.C. Law 12-81, § 47, 45 DCR 745; June 11, 2004, D.C. Law 15-166, § 4(u)(2), 51 DCR 2817.)
1981 Ed., § 35-4704.
This section is referenced in § 31-3505.
D.C. Law 15-166, in subsec. (b), substituted “Commissioner of the Department of Insurance, Securities, and Banking” for “Commissioner of Insurance and Securities”.
For temporary (90 day) amendment of section, see § 4(u)(2) of Consolidation of Financial Services Emergency Amendment Act of 2004 (D.C. Act 15-381, February 27, 2004, 51 DCR 2653).
Section 31-4323, referred to in subsection (c), was repealed March 21, 1995, by § 12 of D.C. Law 10-233.

Structure District of Columbia Code

District of Columbia Code

Title 31 - Insurance and Securities

Chapter 35 - Hospital and Medical Services Corporations Regulation

§ 31–3501. Definitions

§ 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

§ 31–3509. Reserves

§ 31–3510. Investments

§ 31–3511. Surplus notes

§ 31–3512. Group subscriber contract standard provisions

§ 31–3513. Reports

§ 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

§ 31–3522. Appeals

§ 31–3523. General transition provisions

§ 31–3523.01. Regulatory authority

§ 31–3524. Rules and regulations