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§ 44–301.01. Definitions - For the purposes of this chapter, the term (1) “Adverse...
§ 44–301.02. Medicare not applicable - (a) The provisions of subchapter I of this chapter shall...
§ 44–301.03. Establishment of grievance system - (a)(1) A member or member representative shall have a right...
§ 44–301.04. Grievance process - (a) A member or member representative may appeal any adverse...
§ 44–301.05. Informal internal review. [Repealed] - Repealed. (Apr. 27, 1999, D.C. Law 12-274, § 105, 46...
§ 44–301.06. Internal appeals process - (a)(1) An insurer shall establish and maintain an internal appeals...
§ 44–301.06a. Appeals of rescissions to the Department of Insurance, Securities, and Banking - If an insurer denies a member or member representative’s appeal...
§ 44–301.07. External appeals process for matters other than rescissions - (a) The Director shall establish and maintain an external appeals...
§ 44–301.08. Certification and general requirements for independent review organizations - (a) Each independent review organization selected by the Director to...
§ 44–301.09. Assessment of insurers - The Mayor shall assess all insurers to cover all the...
§ 44–301.10. Reporting requirements - (a) Every insurer shall submit to the Director, an annual...
§ 44–301.11. Availability of District external review procedures for self-insured plans - A group health plan that is located in the District...