reglab/housing_qa huggingface dataset:
DC Code § 31-3303.09 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.09. Eligibility to enroll

(a) A group health plan, and a health insurer offering group health insurance coverage, may not establish rules for eligibility (including continued eligibility) of any individual to enroll under the terms of the plan based on any of the health status-related factors. (b) The provisions of this section shall not be construed to: (1) Require a health insurer offering group health insurance coverage to provide particular benefits other than those provided under the terms of such plan or coverage; or (2) To prevent a health insurer offering group health insurance coverage from establishing limitations or restrictions on the amount, level, extent, or nature of the benefits or coverage for similarly situated individuals enrolled in the plan or coverage rules for eligibility to enroll under a plan which includes rules defining any applicable waiting periods for such enrollment. (c) A health insurer offering group health insurance coverage may not require an individual (as a condition of enrollment or continued enrollment under the plan) to pay a premium or contribution which is greater than such premium or contribution for a similarly situated individual enrolled in the plan on the basis of any health status related factor in relation to the individual or to an individual enrolled under the plan as a dependent of the individual. (d) Nothing in subsection (c) of this section shall be construed to restrict the amount that an employee may be charged for coverage under group health insurance coverage, or prevent a health insurer offering group health insurance coverage from establishing premium discounts or rebates or modifying otherwise applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention.  (Apr. 13, 1999, D.C. Law 12-209, § 309, 45 DCR 8433.)  Prior Codifications 1981 Ed., § 35-1039. Emergency Legislation See notes to § 31-3301.01. Temporary Legislation See Historical and Statutory Notes following § 31-3301.01.
DC Code § 31-3303.10 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.10. Exclusions

The provisions of this subchapter shall not apply to: (1) Any group health benefit plan for any plan year if, on the first day of such plan year, such plan has less than 2 participants who are current employees; or (2) Any health benefit plan for any of the excepted benefits.  (Apr. 13, 1999, D.C. Law 12-209, § 310, 45 DCR 8433.)  Prior Codifications 1981 Ed., § 35-1040. Emergency Legislation See notes to § 31-3301.01. Temporary Legislation See Historical and Statutory Notes following § 31-3301.01.
DC Code § 31-3303.11 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.11. Rules used to determine group size

(a) All employers treated as a single employer under subsection (b), (c), (m), or (o) of § 414 of the Internal Revenue Code of 1986 (26 U.S.C. § 414) shall be treated as one employer. (b) In the case of an employer which was not in existence throughout the preceding calendar year, the determination of whether such employer is a small or large group employer shall be based on the average number of employees that it is reasonably expected such employer will employ on business days in the current calendar year. (c) Any reference in this section to an employer shall include a reference to any predecessor of such employer.  (Apr. 13, 1999, D.C. Law 12-209, § 311, 45 DCR 8433.)  Prior Codifications 1981 Ed., § 35-1041. Emergency Legislation See notes to § 31-3301.01. Temporary Legislation See Historical and Statutory Notes following § 31-3301.01.
DC Code § 31-3303.12 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.12. Affiliation period

(a) A health maintenance organization which does not impose any preexisting condition exclusion, with respect to any particular coverage option, may impose an affiliation period for such coverage option, but only if such period is applied uniformly without regard to any health status-related factors and such period does not exceed 2 months (or 3 months in the case of a late enrollee). (b) An affiliation period as described in subsection (a) of this section shall begin on the enrollment date. (c) An affiliation period under a plan shall run concurrently with any waiting period under the plan.  (Apr. 13, 1999, D.C. Law 12-209, § 312, 45 DCR 8433.)  Prior Codifications 1981 Ed., § 35-1042. Emergency Legislation See notes to § 31-3301.01. Temporary Legislation See Historical and Statutory Notes following § 31-3301.01.
DC Code § 31-3303.13 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.13. Alternative methods

A health maintenance organization may use alternative methods to an affiliation period to address adverse selection provided that they are approved by the Commissioner prior to their use.  (Apr. 13, 1999, D.C. Law 12-209, § 313, 45 DCR 8433.)  Prior Codifications 1981 Ed., § 35-1043. Emergency Legislation  For temporary (90 days) creation of new §§ 31-3303.13a through 31-3303.13d, see § 2(e) of Health Insurance Marketplace Improvement Emergency Amendment Act of 2018 (D.C. Act 22-526, Dec. 10, 2018, 65 DCR 13424).  See notes to § 31-3301.01. Temporary Legislation  For temporary (225 days) creation of new §§ 31-3303.13a through 31-3303.13d, see § 2(e) of Health Insurance Marketplace Improvement Temporary Amendment Act of 2018 (D.C. Law 22-251, Mar. 15, 2019, 66 DCR 975).  See Historical and Statutory Notes following § 31-3301.01.
DC Code § 31-3303.13a (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.13a. Treatment of certain multiple employer welfare arrangements

The Commissioner may issue rules to create a grandfathered status with respect to any of the requirements of this chapter for multiple employer welfare arrangements that existed and operated in the District as of December 15, 2017, and comply with federal law and regulations applicable to multiple employer welfare arrangements as of December 15, 2017.  (Apr. 13, 1999, D.C. Law 12-209, § 313a; as added Mar. 22, 2019, D.C. Law 22-266, § 2(e), 66 DCR 1423.)
DC Code § 31-3303.13b (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.13b. License requirement for non-District multiple employer welfare arrangements

No multiple employer welfare arrangement located outside of the District may conduct any business in the District, including marketing, offering, or issuing a health benefit plan to any individual or employer, unless licensed as an insurer, a hospital and medical services corporation, a fraternal benefit society, or a health maintenance organization.  (Apr. 13, 1999, D.C. Law 12-209, § 313b; as added Mar. 22, 2019, D.C. Law 22-266, § 2(e), 66 DCR 1423.)
DC Code § 31-3303.13c (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.13c. Licensing requirement for certain multiple employer welfare arrangements

(a) A multiple employer welfare arrangement that is not fully insured, as described in subsection (c) of this section, shall not operate in the District or market, offer, or issue a health benefit plan to any individual or employer in the District without first meeting the requirements for, and becoming licensed as, an insurer, a hospital and medical services corporation, a fraternal benefit society, or a health maintenance organization. (b) The existence of contracts of reinsurance shall not be considered in determining whether a multiple employer welfare arrangement is fully insured. (c) For the purposes of this section, a multiple employer welfare arrangement is not fully insured unless the covered benefits it provides are: (1) Insured on a direct basis by an insurance company licensed to transact the business of insurance in District; or (2) Arranged for or provided on a direct basis by (A) A hospital and medical services corporation; (B) A fraternal benefit society; (C) A health maintenance organization licensed in the District; or (D) Any combination of these entities.  (Apr. 13, 1999, D.C. Law 12-209, § 313c; as added Mar. 22, 2019, D.C. Law 22-266, § 2(e), 66 DCR 1423.)
DC Code § 31-3303.13d (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.13d. Short-term, limited-duration health insurance

(a) An insurer shall not provide short-term, limited-duration health insurance policies, certificates of coverage, or contracts unless the insurer obtains a certificate of authority from the Commissioner to offer health insurance. (b) An insurer offering for sale a short-term, limited-duration health insurance policy, certificate of coverage, or contract shall apply the same underwriting standards to all applicants for such coverage regardless of whether the applicant has previously been covered by a short-term, limited-duration health insurance policy, certificate of coverage, or contract. (c) A short-term, limited-duration health insurance policy, certificate of coverage, or contract shall not exclude from coverage as a pre-existing condition any medical or behavioral health condition for which an applicant sought treatment in the prior 12 months or for which an applicant is currently in an active course of treatment. An insurer shall not use underwriting related to such a condition to deny enrollment in short-term, limited-duration coverage to an applicant. (d) A short-term, limited-duration insurance policy, certificate of coverage, or contract shall terminate not more than 3 months after its effective date. (e) A short-term, limited-duration health insurance policy, certificate of coverage, or contract shall not be extended or renewed. The insurer shall not issue, directly or indirectly through an affiliate, a new short-term, limited-duration health insurance policy, certificate of coverage, or contract to an individual who had such a policy, certificate of coverage, or contract from the insurer within the preceding 9 months. (f) An insurer shall ensure that each policy, certificate of coverage, or contract for short-term, limited-duration health insurance and all application materials for enrollment in that coverage displays prominently, in at least 14-point type, a statement that the coverage does not constitute minimum essential coverage for the purposes of satisfying the individual responsibility requirement of § 47-5102, and any other disclosures the Commissioner may require through rulemaking, including the types of benefits and consumer protections that are and are not included in the coverage. (g) A company offering for sale a short-term, limited-duration health insurance policy, certificate of coverage, or contract shall provide to the Commissioner any information the Commissioner requires by rulemaking.  (Apr. 13, 1999, D.C. Law 12-209, § 313d; as added Mar. 22, 2019, D.C. Law 22-266, § 2(e), 66 DCR 1423.)
DC Code § 31-3303.14 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 33 - Health Insurance Portability and Accountability|Subchapter III - Group Insurance|§ 31-3303.14. Applicability

Unless otherwise specifically provided in this chapter, the provisions of this subchapter shall apply to group health benefit plans issued or renewed after July 1, 1997.  (Apr. 13, 1999, D.C. Law 12-209, § 314, 45 DCR 8433.)  Prior Codifications 1981 Ed., § 35-1044. Emergency Legislation See notes to § 31-3301.01. Temporary Legislation See Historical and Statutory Notes following § 31-3301.01.
DC Code § 31-3702 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3702. Applicability and scope

(a) Except as otherwise specifically provided, this subchapter shall apply to: (1) All Medicare supplement policies delivered or issued for delivery in the District of Columbia on or after October 1, 1992; and (2) All certificates issued under group Medicare supplement policies, which certificates have been delivered or issued for delivery in the District of Columbia. (b) This subchapter shall not apply to a policy for 1 or more employers or labor organizations, or of the trustees of a fund established by 1 or more employers or labor organizations, or combination thereof, for employees or former employees or a combination thereof, or for members or former members, or a combination thereof, of the labor organizations. (c) Except as otherwise specifically provided in § 31-3706(d) [sic], the provisions of this subchapter are not intended to prohibit or apply to insurance policies or health care benefit plans, including group conversion policies, provided to Medicare eligible persons, which policies are not marketed or held to be Medicare supplement policies or benefit plans.  (Oct. 1, 1992, D.C. Law 9-170, § 3, 39 DCR 5825; Apr. 9, 1997, D.C. Law 11-202, §§ 2(b)-(c), 43 DCR 6054.)  Prior Codifications 1981 Ed., § 35-2612. Emergency Legislation For temporary amendment of section, see § 2(b) and (c) of the Medicare Supplement Insurance Minimum Standards Emergency Amendment Act of 1996 (D.C. Act 11-244, April 11, 1996, 43 DCR 2119), § 2(b) and (c) of the Medicare Supplement Insurance Minimum Standards Legislative Review Emergency Amendment Act of 1996 (D.C. Act 11-396, October 9, 1996, 43 DCR 5684), § 2(b) and (c) of the Medicare Supplement Insurance Minimum Standards Congressional Review Emergency Amendment Act of 1996 (D.C. Act 11-416, October 28, 1996, 43 DCR 6078), § 2(b) and (c) of the Medicare Supplement Insurance Minimum Standards Second Congressional Review Emergency Amendment Act of 1996 (D.C. Act 11-474, December 30, 1996, 44 DCR 198), and see § 2(b) and (c) of the Medicare Supplement Insurance Minimum Standards Congressional Review Emergency Amendment Act of 1997 (D.C. Act 12-49, March 31, 1997, 44 DCR 2112). Temporary Legislation See Historical and Statutory Notes following § 31-3701.
DC Code § 31-3704 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3704. Loss ratio standards

Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged. The Mayor shall issue reasonable regulations to establish minimum standards for loss ratios of Medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial principles and practices.  (Oct. 1, 1992, D.C. Law 9-170, § 5, 39 DCR 5825.)  Prior Codifications 1981 Ed., § 35-2614. Temporary Legislation See Historical and Statutory Notes following § 31-3701.
DC Code § 31-3706 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3706. Filing requirements; master policy and certificate

(a) Except as provided in subsection (b) of this section, any insurer who provides group Medicare supplement insurance benefits to a resident of the District shall file the master policy and certificate, as provided by rule issued pursuant to § 31-3710. (b) An insurer shall not be required to file the master policy and certificate within the 30-day period following the date that the insurance is provided if the policy is a master policy issued for delivery outside the District.  (Oct. 1, 1992, D.C. Law 9-170, § 7, 39 DCR 5825.)  Prior Codifications 1981 Ed., § 35-2616. Section References This section is referenced in § 31-3702. Temporary Legislation See Historical and Statutory Notes following § 31-3701.
DC Code § 31-3707 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3707. Notice of free examination

Medicare supplement policies and certificates shall have a notice prominently printed on the 1st page of the policy or certificate, or attached thereto, stating in substance that the applicant shall have the right to return the policy or certificate within 30 days of its delivery and to have the premium refunded if, after examination of the policy or certificate, the applicant is not satisfied for any reason. Any refund made pursuant to this section shall be paid directly to the applicant by the issuer in a timely manner.  (Oct. 1, 1992, D.C. Law 9-170, § 8, 39 DCR 5825.)  Prior Codifications 1981 Ed., § 35-2617. Temporary Legislation See Historical and Statutory Notes following § 31-3701.
DC Code § 31-3708 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3708. Filing requirements for advertising

(a) The Mayor shall establish, by rule, standards for advertising Medicare supplement insurance and benefits in the District. (b) Each insurer, health care service plan, or other entity that provides Medicare supplement insurance or benefits in the District shall provide the Mayor, for review, a copy of any Medicare supplement advertisement intended for use in the District.  (Oct. 1, 1992, D.C. Law 9-170, § 9, 39 DCR 5825.)  Prior Codifications 1981 Ed., § 35-2618. Temporary Legislation See Historical and Statutory Notes following § 31-3701.
DC Code § 31-3709 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3709. Remedies

In addition to any other applicable penalty for a violation of the insurance laws of the District, the Mayor may require an insurer who violates this subchapter, or rules issued pursuant to this subchapter, to cease marketing in the District any Medicare supplement policy or certificate that is related directly or indirectly to a violation, or may require the issuer to take any actions necessary to comply with the provisions of this subchapter, or both.  (Oct. 1, 1992, D.C. Law 9-170, § 10, 39 DCR 5825.)  Prior Codifications 1981 Ed., § 35-2619. Temporary Legislation See Historical and Statutory Notes following § 31-3701.
DC Code § 31-3710 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter I - General|§ 31-3710. Rules

(a) The Mayor shall issue proposed rules to implement the provisions of this subchapter within 180 days of October 1, 1992. The proposed rules shall be submitted to the Council for a 45-day period of review, excluding Saturdays, Sundays, legal holidays, and days of Council recess. If the Council does not approve or disapprove the proposed rules, in whole or in part, by resolution within this 45-day period, the proposed rules shall be deemed approved. Nothing in this section shall affect any requirements imposed upon the Mayor by subchapter I of Chapter 5 of Title 2. (b) The Mayor may issue emergency rules without prior Council approval, which shall be effective for not more than 120 days.  (Oct. 1, 1992, D.C. Law 9-170, § 11, 39 DCR 5825.)  Prior Codifications 1981 Ed., § 35-2620. Section References This section is referenced in § 31-3706. Temporary Legislation See Historical and Statutory Notes following § 31-3701. Resolutions Resolution 16-394, Medicare Supplement Insurance Minimum Standards Approval Resolution of 2005“, was approved effective November 26, 2005. Resolution 16-788, the “Medicare Supplement Insurance Minimum Standards Approval Resolution of 2006”, was approved effective August 11, 2006. Resolution 18-298, the “Medicare Supplement Insurance Minimum Standards Approval Resolution of 2009”, was approved effective November 3, 2009.
DC Code § 31-3751 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter II - Repealed Provisions|§ 31-3751. Definitions [Repealed]

Repealed.  (Oct. 1, 1992, D.C. Law 9-170, § 12, 39 DCR 5825.)  Prior Codifications 1981 Ed., §§ 35-2601 to 35-2610. Temporary Legislation For temporary (225 day) repeal of §§ 35-2601 to 35-2610 1981 Ed., see § 2 of Medicare Supplement Insurance Minimum Standard Temporary Act of 1992 (D.C. Law 9-133, July 22, 1992, law notification 39 DCR 5814).
DC Code § 31-3752 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter II - Repealed Provisions|§ 31-3752. Applicability and scope [Repealed]

Repealed.  (Oct. 1, 1992, D.C. Law 9-170, § 12, 39 DCR 5825.)  Prior Codifications 1981 Ed., §§ 35-2601 to 35-2610. Temporary Legislation For temporary (225 day) repeal of §§ 35-2601 to 35-2610 1981 Ed., see § 2 of Medicare Supplement Insurance Minimum Standard Temporary Act of 1992 (D.C. Law 9-133, July 22, 1992, law notification 39 DCR 5814).
DC Code § 31-3753 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter II - Repealed Provisions|§ 31-3753. Standards for policy provisions and authority to promulgate regulations [Repealed]

Repealed.  (Oct. 1, 1992, D.C. Law 9-170, § 12, 39 DCR 5825.)  Prior Codifications 1981 Ed., §§ 35-2601 to 35-2610. Temporary Legislation For temporary (225 day) repeal of §§ 35-2601 to 35-2610 1981 Ed., see § 2 of Medicare Supplement Insurance Minimum Standard Temporary Act of 1992 (D.C. Law 9-133, July 22, 1992, law notification 39 DCR 5814).
DC Code § 31-3754 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter II - Repealed Provisions|§ 31-3754. Loss ratio standards [Repealed]

Repealed.  (Oct. 1, 1992, D.C. Law 9-170, § 12, 39 DCR 5825.)  Prior Codifications 1981 Ed., §§ 35-2601 to 35-2610. Temporary Legislation For temporary (225 day) repeal of §§ 35-2601 to 35-2610 1981 Ed., see § 2 of Medicare Supplement Insurance Minimum Standard Temporary Act of 1992 (D.C. Law 9-133, July 22, 1992, law notification 39 DCR 5814).
DC Code § 31-3755 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter II - Repealed Provisions|§ 31-3755. Disclosure standards [Repealed]

Repealed.  (Oct. 1, 1992, D.C. Law 9-170, § 12, 39 DCR 5825.)  Prior Codifications 1981 Ed., §§ 35-2601 to 35-2610. Temporary Legislation For temporary (225 day) repeal of §§ 35-2601 to 35-2610 1981 Ed., see § 2 of Medicare Supplement Insurance Minimum Standard Temporary Act of 1992 (D.C. Law 9-133, July 22, 1992, law notification 39 DCR 5814).
DC Code § 31-3756 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 37 - Medicare Supplement Insurance|Subchapter II - Repealed Provisions|§ 31-3756. Filing requirements; master policy and certificate [Repealed]

Repealed.  (Oct. 1, 1992, D.C. Law 9-170, § 12, 39 DCR 5825.)  Prior Codifications 1981 Ed., §§ 35-2601 to 35-2610. Temporary Legislation For temporary (225 day) repeal of §§ 35-2601 to 35-2610 1981 Ed., see § 2 of Medicare Supplement Insurance Minimum Standard Temporary Act of 1992 (D.C. Law 9-133, July 22, 1992, law notification 39 DCR 5814).