reglab/housing_qa huggingface dataset:
DC Code § 31-3451.07 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34A - Health Organizations RBC|§ 31-3451.07. Hearings

(a) A health organization may request a confidential department hearing, on a record, to challenge a determination or action if the Commissioner notifies it of the following: (1) An adjusted RBC report; (2)(A) The health organization’s RBC plan or revised RBC plan is unsatisfactory; and (B) The notification constitutes a Regulatory Action Level Event; (3) The health organization has failed to adhere to its RBC plan or revised RBC plan and that the failure has a substantial adverse effect on the ability of the health organization to eliminate the Company Action Level Event in accordance with its RBC plan or revised RBC plan; or (4) A corrective order. (b) The health organization shall notify the Commissioner of its request for a hearing within 5 days after a notification described in subsection (a) of this section. Upon receipt of the health organization’s request for a hearing, the Commissioner shall set a date for the hearing, which shall be no less than 10, or more than 30, days after the date of the health organization’s request.  (June 18, 2003, D.C. Law 14-312, § 107, 50 DCR 306.)  Prior Codifications 2001 Ed., § 31-3851.07. Section References This section is referenced in § 31-3451.01, § 31-3451.03, and § 31-3451.04.
DC Code § 31-3451.09 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34A - Health Organizations RBC|§ 31-3451.09. Foreign health organizations

(a)(1) A foreign health organization shall, upon the written request of the Commissioner, submit to the Commissioner an RBC report as of the end of the previous calendar year upon the later of: (A) The date that an RBC report would be required to be filed by a domestic health organization under this chapter; or (B) Fifteen days after the request is received by the foreign health organization. (2) A foreign health organization shall, at the written request of the Commissioner, promptly submit to the Commissioner a copy of any RBC plan that is filed with the insurance commissioner of any other state. (b) If (1) a Company Action Level Event, Regulatory Action Level Event, or Authorized Control Level Event occurs with respect to a foreign health organization as determined under the RBC statute applicable in the state of domicile of the health organization (or, if no RBC statute is in force in that state, under the provisions of this chapter), and (2) the Insurance Commissioner of the state of domicile of the foreign health organization fails to require the foreign health organization to file an RBC plan in the manner specified under that state’s RBC statute (or, if no RBC statute is in force in that state, under § 31-3451.03), the Commissioner may require the foreign health organization to file an RBC plan with the Commissioner. In such event, the failure of the foreign health organization to file an RBC plan with the Commissioner shall be reason to order the health organization to cease and desist from writing new insurance business in the District. (c) If (1) a Mandatory Control Level Event occurs with respect to a foreign health organization, and (2) no domiciliary receiver has been appointed with respect to the foreign health organization under the rehabilitation and liquidation statute applicable in the state of domicile of the foreign health organization, the Commissioner may apply to the Superior Court of the District of Columbia as permitted under Chapter 34 of Title 31 or Chapter 13 of Title 31 with respect to the liquidation of property of foreign health organizations found in the District of Columbia. The occurrence of the Mandatory Control Level Event shall be considered adequate grounds for the application.  (June 18, 2003, D.C. Law 14-312, § 109, 50 DCR 306.)  Prior Codifications 2001 Ed., § 31-3851.09.
DC Code § 31-3451.10 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34A - Health Organizations RBC|§ 31-3451.10. Supplemental provisions; rules; exemption

(a) This chapter shall supplement the other provisions of the laws of the District and shall not preclude or limit any other powers or duties of the Commissioner under such laws, including Chapter 34 of this title and Chapter 13 of this title. (b) The Commissioner may promulgate regulations to implement this chapter. (c) The Commissioner may exempt from the application of this chapter a domestic health organization that: (1) Writes direct business only in the District; (2) Assumes no reinsurance in excess of 5% of direct premium written; and (3) Writes direct annual premiums for comprehensive medical business of $2 million or less.  (June 18, 2003, D.C. Law 14-312, § 110, 50 DCR 306.)  Prior Codifications 2001 Ed., § 31-3851.10.
DC Code § 31-3451.11 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34A - Health Organizations RBC|§ 31-3451.11. Immunity

The Commissioner, the Department of Insurance and Securities Regulation, or its employees or agents shall not be liable for any action taken by them in the performance of their powers and duties under this chapter.  (June 18, 2003, D.C. Law 14-312, § 111, 50 DCR 306.)  Prior Codifications 2001 Ed., § 31-3851.11.
DC Code § 31-3451.12 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34A - Health Organizations RBC|§ 31-3451.12. Notices

All notices by the Commissioner to a health organization that may result in regulatory action under this chapter shall be effective upon mailing if transmitted by registered or certified mail or, in the case of any other transmission, shall be effective upon the health organization’s receipt of notice.  (June 18, 2003, D.C. Law 14-312, § 112, 50 DCR 306.)  Prior Codifications 2001 Ed., § 31-3851.12.
DC Code § 31-3451.13 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34A - Health Organizations RBC|§ 31-3451.13. Transition

For RBC reports required to be filed by health organizations with respect to 2002, the following requirements shall apply in lieu of the provisions of §§ 31-3451.03, 31-3451.04, 31-3451.05, and 31-3451.06: (1) In the event of a Company Action Level Event with respect to a domestic health organization, the Commissioner shall take no regulatory action under this chapter. (2) In the event of a Regulatory Action Level Event as defined under § 31-3451.01(19)(A) through (C), the Commissioner shall take the actions required under § 31-3451.03. (3) In the event of a Regulatory Action Level Event as defined under § 31-3451.01(19)(D) through (I), or an Authorized Control Level Event, the Commissioner shall take the action required under § 31-3451.04 with respect to the health organization. (4) In the event of a Mandatory Control Level Event, the Commissioner shall take the action required under § 31-3451.05.  (June 18, 2003, D.C. Law 14-312, § 113, 50 DCR 306; Apr. 13, 2005, D.C. Law 15-354, § 45(d), 52 DCR 2638.)  Prior Codifications 2001 Ed., § 31-3851.13. Effect of Amendments D.C. Law 15-354 validated previously made technical corrections.
DC Code § 31-3461 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34B - Health Reform Federal Compliance|§ 31-3461. Compliance with federal health reform

(a) 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; 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 rules issued pursuant to the federal health acts, as the sections and implementing regulations were in effect on December 15, 2017, are incorporated by reference and shall apply to all insurers, hospital and medical services corporations, health maintenance organizations, and multiple employer welfare arrangements, including associations or any other entities providing a health benefit plan to a small employer, as that term is defined in § 31-3301.01(42), or an individual, that deliver or issue for delivery individual or group health insurance policies, contracts, or certificates of coverage in the District. (b) The Commissioner of the Department of Insurance, Securities and Banking (“Commissioner”) has the authority to take action to enforce violations of subsection (a) of this section pursuant to the Commissioner’s authority under subchapter I of Chapter 1 of this title [§ 31-101 et seq.]. (c) The Commissioner, pursuant to subchapter I of Chapter 5 of Title 2 [§ 2-501 et seq.], may issue rules to implement the provisions of this section.  (May 2, 2015, D.C. Law 20-265, § 101, 62 DCR 1529; Mar. 22, 2019, D.C. Law 22-266, § 4(a), 66 DCR 1423.)  Emergency Legislation  For temporary (90 days) creation of new § 31-3462, see § 4(b) of Health Insurance Marketplace Improvement Emergency Amendment Act of 2018 (D.C. Act 22-526, Dec. 10, 2018, 65 DCR 13424).   For temporary (90 days) amendment of this section, see § 4(a) of Health Insurance Marketplace Improvement Emergency Amendment Act of 2018 (D.C. Act 22-526, Dec. 10, 2018, 65 DCR 13424).  Temporary Legislation  For temporary (225 days) creation of new § 31-3462, see § 4(b) of Health Insurance Marketplace Improvement Temporary Amendment Act of 2018 (D.C. Law 22-251, Mar. 15, 2019, 66 DCR 975).   For temporary (225 days) amendment of this section, see § 4(a) of Health Insurance Marketplace Improvement Temporary Amendment Act of 2018 (D.C. Law 22-251, Mar. 15, 2019, 66 DCR 975).
DC Code § 31-3462 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 34B - Health Reform Federal Compliance|§ 31-3462. Applicability of federal health acts to multiple employer welfare arrangements

(a) Requirements in the federal health acts incorporated by reference in § 31-3461(a) that apply to the small group market shall apply to health benefit plans offered by multiple employer welfare arrangements including associations or any other entity, if the plan covers an employee of a small employer, as that term is defined in § 31-3301.01(42), in the District. (b) Requirements in the federal health acts incorporated by reference in § 31-3461(a) that apply to insurers in the individual market shall apply to health benefit plans offered by multiple employer welfare arrangements, including associations or any other entities, if the plan covers an individual in the District who is not an employee or dependent of a participating employer.  (May 2, 2015, D.C. Law 20-265, § 101a; as added Mar. 22, 2019, D.C. Law 22-266, § 4(b), 66 DCR 1423.)
DC Code § 31-3505 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3505. Requirements for issuance of certificate of authority

The Mayor shall issue a certificate of authority to each applicant upon the payment of the $200 fee provided for in § 31-3504(b), and upon being satisfied that: (a) The applicant has been organized bona fide for the purpose of establishing, maintaining, and operating a hospital service plan, a medical service plan, or combination of the two; (b) Each contract executed, or proposed to be executed, by the applicant and any hospital, physician, or other medical provider for the furnishing of hospital or medical services to subscribers obligates, or will when executed obligate, each hospital, physician, or other similar service provider which is a party thereto to render the service to which each subscriber may be entitled under the terms and conditions of the various subscriber contracts issued, or proposed to be issued, by the applicant; (c) Each subscriber contract issued, or proposed to be issued, in the District of Columbia is in a form approved by the Mayor, and that the rate charged, or proposed to be charged, for each form of such contract is approved by the Mayor as not being excessive, inadequate, or unfairly discriminatory in relation to the services and benefits offered; provided, that rates for experience rated groups need not, in accordance with § 31-3508(c), be filed with the Mayor; (d) The applicant has a surplus of an amount equal to or greater than that required under § 31-3506, or the amount determined to be necessary pursuant to application of any risk-based capital regulations for hospital and medical services corporations promulgated by the Mayor; and (e) The applicant has: (1) Made provision for compliance with the open enrollment requirements of § 31-3514, including the providing of other public services in the District; or (2) Has entered into a public-private partnership.  (Apr. 9, 1997, D.C. Law 11-245, § 6, 44 DCR 1158; Feb. 4, 2010, D.C. Law 18-104, § 2(b), 56 DCR 9182.)  Prior Codifications 1981 Ed., § 35-4705. Effect of Amendments D.C. Law 18-104 rewrote subsec. (e), which had read as follows: “(e) The applicant has made provision for compliance with the open enrollment requirements of § 31-3514, including the providing of other public services in the District of Columbia as required in § 31-3514.” Emergency Legislation For temporary (90 day) amendment of section, see § 2(b) of Hospital and Medical Services Corporation Regulatory Emergency Amendment Act of 2009 (D.C. Act 18-277, January 11, 2010, 57 DCR 935). Temporary Legislation Section 2(b) of D.C. Law 18-134 amended subsec. (e) to read as follows: “(e) The applicant has: “(1) Made provision for compliance with the open enrollment requirements of section 15, including the providing of other public services in the District; or “(2) Has entered into a public-private partnership.”. Section 6(b) of D.C. Law 18-134 provided that the act shall expire after 225 days of its having taken effect.
DC Code § 31-3505.01 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3505.01. Community health reinvestment

A corporation shall engage in community health reinvestment to the maximum feasible extent consistent with financial soundness and efficiency.  (Apr. 9, 1997, D.C. Law 11-245, § 6a; as added Mar. 25, 2009, D.C. Law 17-369, § 2(c), 56 DCR 1346.)  Section References This section is referenced in § 31-3506.
DC Code § 31-3506.01 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3506.01. Compliance and implementation of community health reinvestment obligations

(a) A corporation shall make available to the Commissioner such information as may be required to permit the Commissioner to verify the corporation’s community health reinvestment and, if appropriate, its compliance with its plan to dedicate excess surplus or to verify that the corporation is participating in a public-private partnership. When verifying the community health reinvestment or the corporation’s compliance with its plan, or when verifying the corporation’s participation in a public-private partnership the Commissioner may retain attorneys, appraisers, independent actuaries, independent certified public accountants, or other professionals, the cost of which shall be borne by the corporation. (b) In implementing the provisions of the Medical Insurance Empowerment Amendment Act of 2008 [D.C. Law 17-369], the Commissioner shall consider the interests and needs of the jurisdictions in the corporation’s service area.  (Apr. 9, 1997, D.C. Law 11-245, § 7a; as added Mar. 25, 2009, D.C. Law 17-369, § 2(e), 56 DCR 1346; Feb. 4, 2010, D.C. Law 18-104, § 2(d), 56 DCR 9182.)  Effect of Amendments D.C. Law 18-104 rewrote subsec. (a), which had read as follows: “(a) A corporation shall make available to the Commissioner such information as may be required to permit the Commissioner to verify the corporation’s community health reinvestment and, if appropriate, its compliance with its plan to dedicate excess surplus. When verifying the community health reinvestment or the corporation’s compliance with its plan, the Commissioner may retain attorneys, appraisers, independent actuaries, independent certified public accountants, or other professionals, the cost of which shall be borne by the corporation.” Emergency Legislation For temporary (90 day) amendment of section, see § 2(d) of Hospital and Medical Services Corporation Regulatory Emergency Amendment Act of 2009 (D.C. Act 18-277, January 11, 2010, 57 DCR 935). Temporary Legislation Section 2(d) of D.C. Law 18-134, in subsec. (a), substituted “dedicate excess surplus or to verify that the corporation is participating in a public-private partnership” for “dedicate excess surplus” and substituted “or the corporation’s compliance with its plan, or when verifying the corporation’s participation in a public-private partnership” for “or the corporation’s compliance with its plan,”. Section 6(b) of D.C. Law 18-134 provided that the act shall expire after 225 days of its having taken effect.
DC Code § 31-3507 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3507. Filing of provider contracts

(a) A corporation holding a certificate of authority under this chapter may enter into contracts with licensed hospitals, licensed physicians, and other duly licensed medical services providers. (b) A copy of each contract form that a corporation, referred to in subsection (a) of this section, has with licensed hospitals, licensed physicians, and other duly licensed medical services providers shall be filed with the Mayor.  (Apr. 9, 1997, D.C. Law 11-245, § 8, 44 DCR 1158.)  Prior Codifications 1981 Ed., § 35-4707.
DC Code § 31-3509 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3509. Reserves

(a) Taking into consideration the nature of the policies issued by the corporation, a corporation shall establish and maintain pro rata gross unearned premium reserves, reserves for incurred but unpaid claims (both reported and unreported), reserves for expenses related to settlement of such claims, and other reserves as required for proper reporting of its financial condition or as required under the form of financial statements required of the corporation. (b) The reserves required under subsection (a) of this section constitute a liability of the corporation in a determination of its financial condition.  (Apr. 9, 1997, D.C. Law 11-245, § 10, 44 DCR 1158.)  Prior Codifications 1981 Ed., § 35-4709. Section References This section is referenced in § 31-3501.
DC Code § 31-3511 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3511. Surplus notes

(a) A domestic corporation may borrow or assume a liability for the repayment of a sum of money under a written agreement which provides that the loan or advance shall be repaid only out of surplus of the corporation in excess of such minimum surplus as is stipulated in and by the agreement and if the surplus of the corporation after such payment would meet or exceed the level of surplus the corporation is required to maintain by the Mayor under the laws or regulations of the District of Columbia. The rate of interest specified in such an agreement may be adjusted no more frequently than annually to provide for a rate not exceeding the one-year treasury bill rate plus 3% at the time of adjustment. At the time the loan or advance is made, the interest rate shall not exceed the one-year treasury bill rate plus 3% annum. (b) Subject to approval by the Mayor, the interest rate on all loans or advances existing on April 9, 1997 can be amended to the rate as permitted in this section with the mutual agreement of the corporation and the lender. (c) A domestic corporation shall, before entering into an agreement for a loan or advance permitted under this section, file with the Mayor a statement of the purpose of the loan or advance and a copy of the proposed agreement. The Mayor shall disapprove any proposed agreement for a loan or advance if the Mayor finds that the loan or advance is unnecessary or excessive for the purpose intended; that the terms of the agreement are not fair and equitable to the parties and to other lenders, if any, to the corporation; that the information so filed by the corporation is inadequate; or that the terms of the agreement are not otherwise in compliance with this section. (d) Any loan or advance to a domestic corporation shall be repaid by the corporation when, and to the extent, no longer reasonably necessary for the purpose originally intended; provided, that no repayment of such a loan or advance shall be made unless approved in advance by the Mayor. (e) Nothing in this section shall be construed to mean that a corporation may not borrow money otherwise than by a loan or advance, but the amount so borrowed with accrued interest thereon shall be carried by the corporation as a liability.  (Apr. 9, 1997, D.C. Law 11-245, § 12, 44 DCR 1158.)  Prior Codifications 1981 Ed., § 35-4711.
DC Code § 31-3513 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 35 - Hospital and Medical Services Corporations Regulation|§ 31-3513. Reports

(a) In addition to the annual statement required by § 31-1901, the Mayor: (1) May require each corporation to file on a quarterly or other basis any additional reports, exhibits, or statements the Mayor considers necessary to furnish all information concerning the condition, solvency, experience, transactions, or affairs of the corporation. The Mayor may establish deadlines for submitting any additional reports, exhibits, or statements and may require their verification by any officer or officers of the corporation the Mayor designates; and (2) Shall require each corporation to file annually, on or before June 1, a report, signed by 2 of its principal officers, showing: (A) The number of the District of Columbia contractholders and subscribers by the following type of contract or its equivalent: (i) Individual, open enrollment; (ii) Individual conversion subscribers; (iii) Group subscribers, as defined by regulation; (iv) Medigap and Medicare supplements; and (v) Associations; (B) Total subscriber income, benefit, and indemnification payments for the types of contracts listed in paragraph (1) of this subsection, with a specific breakdown by type of contract if requested by the Mayor; and (C) Expenditures for providing public services, in addition to open enrollment, in the District of Columbia.  (Apr. 9, 1997, D.C. Law 11-245, § 14, 44 DCR 1158.)  Prior Codifications 1981 Ed., § 35-4713.