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§ 31–3401. Definitions - For the purposes of this chapter, the term: (1) “Administrative...
§ 31–3402. Establishment of health maintenance organizations - (a) Any person may apply to the Commissioner for a...
§ 31–3403. Issuance of certificate of authority - (a) Upon receipt of an application for issuance of a...
§ 31–3403.01. Premium tax - (a) Effective January 1, 2009, all health maintenance organizations shall...
§ 31–3404. Powers of health maintenance organizations - (a) The powers of a health maintenance organization include, but...
§ 31–3405. Fiduciary responsibilities - (a) Any director, officer, employee, or partner of a health...
§ 31–3406. Quality assurance program - (a) A health maintenance organization shall establish procedures to assure...
§ 31–3407. Requirements for group contract, individual contract, and evidence of coverage - (a) Every group and individual contract holder is entitled to...
§ 31–3408. Annual report. [Repealed] - Repealed. (Apr. 9, 1997, D.C. Law 11-235, § 9, 44...
§ 31–3408.01. Compliance with other laws - Health maintenance organizations shall comply with the following laws: (1)...
§ 31–3409. Information to enrollees - (a) A health maintenance organization shall provide to its enrollees...
§ 31–3410. Grievance procedures [Repealed] - Repealed. (Apr. 9, 1997, D.C. Law 11-235, § 11, 44...
§ 31–3411. Investments - With the exception of investments made in accordance with §...
§ 31–3412. Protection against insolvency - (a) Net worth requirements. — (1) Before issuing any certificates...
§ 31–3413. Uncovered expenditures insolvency deposit - (a) If at any time uncovered expenditures exceed 10% of...
§ 31–3414. Enrollment period; replacement coverage in the event of insolvency - (a) Enrollment period. — (1) In the event of the...
§ 31–3415. Filing requirements for rating information - (a) No fees may be used until either a schedule...
§ 31–3416. Regulation of health maintenance organization producers - (a) The Commissioner shall issue rules and regulations to provide...
§ 31–3417. Powers of insurance corporations - (a) An insurance company authorized to do business in the...
§ 31–3418. Examinations. [Repealed] - Repealed. (Apr. 9, 1997, D.C. Law 11-235, § 19, 44...
§ 31–3419. Suspension or revocation of certificate of authority - (a) Any certificate of authority issued under this chapter may...
§ 31–3420. Rehabilitation, liquidation, or conservation of health maintenance organizations - (a) Any rehabilitation, liquidation, or conservation of a health maintenance...
§ 31–3421. Summary orders and supervision - (a) Whenever the Commissioner determines that the financial condition of...
§ 31–3422. Regulations - The Commissioner, within 120 days of April 9, 1997, shall...
§ 31–3423. Penalties and enforcement - (a) The Commissioner, after giving reasonable written notice of intent...
§ 31–3424. Statutory construction and relationship to other laws - (a) Except as otherwise provided in this chapter, provisions of...
§ 31–3425. Filings and reports as public documents - All applications, filings, and reports required under this chapter shall...
§ 31–3426. Confidentiality of medical information and limitation of liability - (a) Any data or information pertaining to the diagnosis, treatment,...
§ 31–3427. Acquisition of control of or merger of a health maintenance organization - (a) No person may make a tender for or a...
§ 31–3428. Coordination of benefits. [Repealed] - Repealed. (Apr. 9, 1997, D.C. Law 11-235, § 30, 44...
§ 31–3429. Point of service plan - (a) If an employer, association, or other private group arrangement...
§ 31–3430. Insolvency protection; assessment - (a) When a health maintenance organization in the District is...
§ 31–3431. Principal office, books, records, and files of the health maintenance organization to be in the District - (a) Any health maintenance organization domiciled in the District or...