D.C. Code § 31-3132. Prompt payment: Health Benefits Plans Prompt Payment – District of Columbia
Status: Enacted Year Enacted: 2002
For covered services rendered to its members, a health insurer shall reimburse any person entitled to reimbursement under the health benefits plan within 30 days after the receipt of a clean claim.
Download
D.C. Code § 31-3133. Retroactive denial of reimbursement: Health Benefits Plans Prompt Payment – District of Columbia
Status: Enacted Year Enacted: 2002
A health insurer may only retroactively deny reimbursement to a health care provider: (1) For services subject to coordination of benefits with another health insurer during the 18-month period after the date that the health …
Download
D.C. Code § 31-3171.01. Definitions: Health Benefit Exchanges – District of Columbia
Status: Enacted Year Enacted: 2012
Definitions of relevant network provider and asepects of benefit design in D.C. health care system.
Download
D.C. Code § 31-3171.02. Establishment and purpose: Health Benefit Exchange – District of Columbia
Status: Enacted Year Enacted: 2012
There is established, as an independent authority of the District government, the District of Columbia Health Benefit Exchange Authority. The Authority shall be an instrumentality, created to effectuate the purposes stated in this chapter, that …
Download
D.C. Code § 31-3171.06. Powers and duties of executive board: Health Benefit Exchange – District of Columbia
Status: Enacted Year Enacted: 2012
Subject to any limitations under this chapter, or other applicable law, the executive board shall have all the powers necessary to carry out the functions authorized by the Federal Act and consistent with the purposes …
Download
D.C. Code § 31-3171.09. Health benefit plan certification: Health Benefit Exchange – District of Columbia
Status: Enacted Year Enacted: 2012
To be certified as a qualified health plan, a health benefit plan shall, at a minimum provide the following benefits.
Download
D.C. Code § 31-3271. Definitions: Health Insurance Coverage for Habilitative Services for Children. – District of Columbia
Status: Enacted Year Enacted: 2007
Definitions of relevant network provider and asepects of benefit design in D.C. health care system.
Download
D.C. Code § 31-3272. Coverage, notice, applicability, and regulations: Health Insurance Coverage for Habilitative Services for Children – District of Columbia
Status: Enacted Year Enacted: 2007
Notice of coverage, applicability and regulations for habilitative services for children.
Download
D.C. Code § 31-3303.01. Application of subchapter: Group Insurance – District of Columbia
Status: Enacted Year Enacted: 1998
Each insurer proposing to issue group accident and sickness insurance policies providing hospital, medical and surgical or major medical coverage on an expense incurred basis, each corporation providing group accident and sickness subscription contracts, and …
Download
D.C. Code § 31-3303.08. Disclosure of information: Group Insurance – District of Columbia
Status: Enacted Year Enacted: 1999
Any health insurer offering health insurance coverage to a small employer shall make a reasonable disclosure of the availability of information to such an employer, as part of its solicitation and sales materials, and upon …
Download
D.C. Code § 31-3303.09. Eligibility to enroll: Group Insurance – District of Columbia
Status: Enacted Year Enacted: 1999
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 …
Download
D.C. Code § 31-3403.01. Premium tax. Health Maintenance Organizations – District of Columbia
Status: Enacted Year Enacted: 1997
Effective January 1, 2009, all health maintenance organizations shall pay to the District of Columbia, for each calendar year, a sum of money as taxes equal to 2% of their policy and membership fees and …
Download
D.C. Code § 31-3429. Point of service plan: Health Maintenance Organizations – District of Columbia
Status: Enacted Year Enacted: 1997
If an employer, association, or other private group arrangement offers health benefit plan coverage to employees or individuals only through a health maintenance organization, the health maintenance organization with which the employer, association, or other …
Download
D.C. Code § 31-3834.02. Coverage of preventive health services: Women’s Rights Regarding Certain Health Insurance – District of Columbia
Status: Enacted Year Enacted: 2001
) An individual health plan or group health plan and health insurance coverage through Medicaid or the D.C. Healthcare Alliance program shall provide coverage for, and shall not impose any cost-sharing requirements on, women for …
Download
D.C. Code § 31-3834.03. Coverage of additional preventive health services: Women’s Rights Regarding Certain Health Insurance – District of Columbia
Status: Enacted Year Enacted: 2001
Health insurance coverage through Medicaid or the D.C. Healthcare Alliance program shall also provide additional coverage and shall not impose any cost-sharing requirements for these additional benefits.
Download
D.C. Code § 31-3834.05. Notice of rights to healthcare coverage: Women’s Rights Regarding Certain Health Insurance – District of Columbia
Status: Enacted Year Enacted: 2001
An insurer that is subject to § 31-3834.01 or § 31-3834.02 shall make readily accessible to enrollees and potential enrollees information regarding contraceptive services, coverage of other services, drugs, products, devices, etc.
Download