D.C. Code Title 31, Chapter 34
Health Maintenance Organizations (§§ 31-3401 to 31-3431)
Edition and licensing notes
Publisher. Council of the District of Columbia (code.dccouncil.gov)
Status. D.C. Official Code; public domain.
What this document is
D.C. Code Title 31, Chapter 34 - Health Maintenance Organizations (§§ 31-3401 to 31-3431) is a state statute published by Council of the District of Columbia (code.dccouncil.gov). It is one of the District of Columbia documents that insurance license exam questions are written from, including district of columbia life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.
Sections cited in practice questions
Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.
- D.C. Code § 31-3402 (establishment of health maintenance organizations)
“No person shall establish or operate a health maintenance organization in the District without obtaining a certificate of authority under this chapter, except as provided for herein. Any person who shall establish and operate a health maintenance organization without obtaining a certificate of...”
- D.C. Code § 31-3407 (requirements for group contract, individual contract, and evidence of coverage)
“In addition to the requirements of subsection (a)(2)(A) through (Y) of this section, an individual contract shall provide for a 10-day period to examine and return the contract and have the dues refunded. If services were received during the 10-day period and the person returns the contract to...”
- D.C. Code § 31-3409 (information to enrollees)
“An enrollee must be notified in writing by a health maintenance organization of the termination of the primary care provider who provided health care services to that enrollee. A health maintenance organization shall provide assistance to the enrollee in transferring to another participating primary care provider.”
- D.C. Code § 31-3412 (protection against insolvency)
“In the event that the participating provider contract has not been reduced to writing as required by this subsection or that the contract fails to contain the required prohibition, the participating provider shall not collect or attempt to collect from the enrollee sums owed by a health maintenance organization.”
- D.C. Code § 31-3429 (point of service plan)
“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 private group arrangement is contracting...”
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More District of Columbia sources
- D.C. Code Title 31, Chapter 16 - Prohibition of Discrimination in the Provision of Insurance on Basis of AIDS Test (§§ 31-1601 to 31-1610)State statute
- D.C. Code Title 31, Chapter 2 - Duties of Commissioner; Requirements of Industry (§§ 31-201 to 31-208)State statute
- D.C. Code Title 31, Chapter 51 - Credit Life, Accident, and Health Insurance (§§ 31-5101 to 31-5112)State statute
- D.C. Code Title 31, Chapter 54 - Life and Health Insurance Guaranty Association (§§ 31-5401 to 31-5416)State statute
- D.C. Code Title 31, Chapter 32 - Health Insurance Forms (§§ 31-3201 to 31-3255)State statute
- D.C. Code Title 31, Chapter 48 - Industrial Life Insurance (§§ 31-4801 to 31-4805)State statute
- D.C. Code Title 31, Chapter 47 - Provisions Relating to All Life Insurance Companies (§§ 31-4701 to 31-4730)State statute
- D.C. Code Title 31, Chapter 36 - Long-Term Care Insurance (§§ 31-3601 to 31-3612)State statute