District of Columbia Administrative Code

1904 DENIAL, SUSPENSION, OR REVOCATION OF A FACILITY CERTIFICATION 1904.1 The Director may refuse to issue or renew or may revoke, or suspend a certification issued pursuant to this chapter for one or more of the reasons set forth in §1904.7 below. 1904.2 Every applicant for or h…

1905 SERVICE OF NOTICE 1905.1 Any notice required by this chapter may be served either personally, by certified mail or return receipt requested, directed to the applicant or certification holder at the last known address as shown by the records of the Department of Consumer and …

1906 CONDUCT OF HEARINGS FOR DENIAL, SUSPENSION, OR REVOCATION OF CERTIFICATION 1906.1 Every hearing before the Director shall be open to the public. 1906.2 An applicant or certification holder entitled to a hearing shall have the following rights: (a) To be represented by counse…

1907 FINDINGS AND DECISIONS ON HEARINGS REGARDING CERTIFICATIONS 1907.1 The Director shall render a decision, in writing, within forty-five (45) days after the hearing is completed. 1907.2 The decision of the Director shall contain the following: (a) Findings of fact made by the …

1908 RECONSIDERATION 1908.1 A petition for reconsideration may be filed by an aggrieved person within ten (10) days after service of the decision by the Director. 1908.2 Neither the filing nor the granting of that petition shall operate as a stay of a final order unless specifica…

1909 REINSTATEMENT AFTER REVOCATION 1909.1 A facility shall not file an application for reinstatement of a revoked certification until one year from the date of the Director's decision, unless the Director's decision should provide otherwise. SOURCE: Final Rulemaking published at…

1910 GUIDE FOR FILING OF POLICY RATES AND FORMS 1910.1 Each insurer shall submit, in duplicate, all proposed policy rates and forms for filing; one copy to be used by the Insurance Administration, the other to be used for acknowledgement, or approval purposes and returned to the …

1911 READABILITY 1911.1 Each insurer which issues policies providing coverage for drug abuse, alcohol abuse, and mental illness for delivery in the District of Columbia shall outline such coverage in no less than ten (10) point type. 1911.2 The policy or endorsement text shall ac…

1912 EXCLUSIONS 1912.1 The Act and these rules shall not apply to the following: (a) Health or disability policies offered by health carriers to employees participating in the Federal Employees’ Health Benefits program administered by the U.S. Government Office of Personnel Manag…

200 PROHIBITION ON GEOGRAPHICAL DISCRIMINATION 200.1 No insurer, policy-writing agent, soliciting agent, broker, or salaried company employee shall decline to insure or to renew contracts of insurance because of the geographic area within the District of Columbia wherein is locat…

201 SOLICITATION BY MAIL 201.1 Any solicitation shall be made by the insurance company or its agents, including the mailing of canvassing material. A mailing list may be purchased from any source. 201.2 The solicitation material shall state that payment of premiums may be made in…

202 RESERVED

203 SALE OF INSURANCE TO FEDERAL AND DISTRICT GOVERNMENT EMPLOYEES 203.1 It is the purpose of this section to establish standards for the sale of insurance to Federal or District government employees. 203.2 No company, agent, or broker shall make any implication, either verbal or…

204 RESERVED

205 PREMIUM FINANCING AGREEMENTS 205.1 A copy of the premium finance agreement shall, in every case, be furnished to the insured not later than the date on which the first installment payment to the finance company is due to be paid. 205.2 No change involving an increased payment…

206 CONSISTENCY IN ACCOUNTING METHODS 206.1 Any insurer or rating bureau making rate filings with the Commissioner of Insurance within the scope of Chapter 17 of Title 35 of the D.C. Code, 1981 ed., shall calculate expenses on an accrual basis if it calculates premiums on an accr…

207 CONSISTENCY IN THE USE OF INFLATION FACTORS 207.1 If any insurer or rating bureau making rate filings with the Commissioner of Insurance within the scope of Chapter 17 of Title 35 of the D.C. Code, 1981 ed., estimates the effects of inflation on its incurred or paid losses in…

208 DENIAL OF SURETY BONDS 208.1 Any surety company doing business in the District of Columbia which shall deny an applicant a bid bond, performance bond, or payment bond for any construction contract shall reasonably explain in writing the reason or reasons for the denial and ma…

209 RESERVED

210 RESERVED

211 ADVERTISEMENTS: ACCIDENT AND SICKNESS INSURANCE 211.1 It is the purpose of this section to establish specific guidelines for advertisements relating to individual, group, blanket, and franchise accident and sickness insurance. The provisions of this section shall be applicabl…

212 LICENSE PREREQUISITES FOR SOLICITATION FOR LIFE INSURANCE AGENTS 212.1 The sale or solicitation of fire and casualty insurance policies by any person who is licensed only to sell policies of a life insurance company shall be considered by this Department to be in deliberate v…

213 INDUCEMENTS USED BY LIFE INSURANCE AGENTS OR COMPANIES 213.1 A life insurance company or agent shall not use certain inducement events in the selling of life insurance. For example, a company or agent shall not hold a "Child's Picnic" nor use "picnic eligibility" as an induce…

214 POLICY APPLICATIONS REJECTED BY LIFE INSURANCE COMPANIES 214.1 If a life insurance policy application is rejected in whole or in part by the company which an agent represents, the agent may, if that company approves, undertake without additional license to have the desired po…

215 LIFE INSURANCE APPLICATIONS TO A SECOND COMPANY 215.1 If a licensed life insurance agent submits a proposal to his or her own company which is rated "declined" or "postponed", the agent may, with the consent of his or her own company and without being licensed with the second…

216 DISCLOSURE OF ASSIGNED RISK RATES 216.1 In every instance wherein a rate for automobile insurance in excess of the comparable District of Columbia Automobile Insurance Plan (D.C.A.I.P.) rate is quoted by an insurer or agent, the applicable D.C.A.I.P. rate shall be quoted. If …

299 DEFINITIONS 299.1 For the purposes of §211, the following words and phrases shall have the meanings ascribed: Advertisement - any of the following: (1) printed and published material and descriptive literature of an insurer used in newspapers, magazines, radio and TV scripts,…

2000 CERTIFICATION FOR PARTICIPATION IN THE MEDICAL LIABILITY CAPTIVE INSURANCE PROGRAM 2000.1 In order to be eligible to participate in the District of Columbia Medical Liability Captive Insurance program, a Health Center shall apply for and obtain a certification from the Commi…

2100 APPLICABILITY 2100.1 This chapter applies to all sinking funds created and maintained pursuant to Section 16 of the District of Columbia Taxicab Commission Establishment Act of 1985, D.C. Code, §40-1715 (1986). SOURCE: Final Rulemaking published at 36 DCR 5113 (July 21, 1989…

2101 CREATION OF A SINKING FUND 2101.1 Any owner of a taxicab maintaining an existing sinking fund or seeking to create a sinking fund shall file with the Commissioner of Insurance the following: (a) An original copy of a written trust agreement (hereinafter Sinking Fund Trust Ag…

2102 APPROVAL OF SINKING FUNDS 2102.1 An application to maintain or create a sinking fund may be approved by the Commissioner after the management of the fund has complied with all of the requirements of Section 2101, provided that the Commissioner determines on the basis of the …

2103 DEDICATION OF FUNDS 2103.1 All monies received or collected by the management from members for payment into a sinking fund pursuant to an approved Sinking Fund Trust Agreement or Application shall be deposited into the Sinking Fund Trust account within ten (10) days of recei…

2104 REQUIRED COVERAGE FOR BODILY INJURY AND PROPERTY DAMAGE 2104.1 The limits of liability coverage provided for in the liability coverage document shall be the same as those required of insurance companies offering taxicab liability insurance in the District of Columbia. SOURCE…

2105 PRINCIPAL BUSINESS OFFICE, BOOKS, RECORDS, AND FILES TO REMAIN IN DISTRICT 2105.1 The management of a sinking fund subject to this chapter shall maintain its principal business office within the District of Columbia, shall keep all books, records, and files concerning the si…

2106 EXAMINATION OF SINKING FUNDS 2106.1 The Commissioner may examine all books, papers, property, and affairs concerning the sinking fund. Further, the Commissioner may examine under oath all persons deemed to have material information regarding the property or business of the f…

2107 COST OF SINKING FUND COVERAGE 2107.1 The management of a sinking fund shall provide to the members of or participants in the fund, documentation evidencing liability coverage that clearly itemizes the following: (a) The name and address of the individual covered; (b) The ter…

2108 LIMITATION OF EXPENSES AND LOSSES PAYABLE BY SINKING FUNDS 2108.1 Only two types of disbursements may be made from a sinking fund: (a) Paid losses; and (b) Allocated loss adjustment expenses. 2108.2 A paid loss includes all sums paid to claimants, or members, or participants…

2109 REVOCATION OR MODIFICATION OF APPROVAL OF SINKING FUNDS 2109.1 The Commissioner may revoke or modify prior approval of a sinking fund which has failed to comply with any provision of this chapter, or which: (a) Is impaired in net worth; (b) Is in such condition that its furt…

2110 HEARING PROCEDURES 2110.1 The Commissioner may hold a public hearing to determine whether a sinking fund meets the requirements of this chapter. 2110.2 Notice of the hearing shall be given as follows: (a) By publishing same in the D.C. Register; and (b) By sending a copy via…

2111 CESSATION OF A SINKING FUND 2111.1 The management of a sinking fund may not terminate the fund without the written approval of the Commissioner. After a final disposition of all claims, any remaining funds shall be returned to the owner. 2111.2 Notwithstanding Section 2111.1…

2112 LIQUIDATION OF SINKING FUND 2112.1 If any sinking fund becomes impaired, insolvent, ceases operation, or violates any provision of this chapter the Commissioner may liquidate the fund in accordance with D.C. Code, Section 35-1508(a)(2), 1981 Edition (as amended). SOURCE: Fin…

2113 EXEMPTION FROM ATTACHMENT OR LEVY 2113.1 Any sinking fund provided for in this chapter shall be exempt from attachment or levy for any obligation or liability of the depositor except as provided in Section 16 of the District of Columbia Taxicab Commission Establishment Act o…

2114 ENFORCEMENT PROVISIONS 2114.1 Any violation of any provision of this chapter shall be subject to a civil fine not to exceed five hundred ($500) dollars. SOURCE: Final Rulemaking published at 36 DCR 5113 (July 21, 1989).

2199 DEFINITIONS COLLATERAL INSTRUMENT - A financial guarantee instrument consisting of a bond, letter of credit or any other instrument which acts as security against management misconduct, financial impairment or insolvency of the sinking fund and non-payment of claims. MANAGEM…

2200 PURPOSE 2200.1 The purpose of this chapter is: (a) To provide for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement policies; (b) To facilitate public understanding and comparison of such policies; (c) To eliminate pro…

2201 AUTHORITY This chapter is issued pursuant to the authority vested in the Commissioner of Insurance, Securities and Banking under the Medicare Supplement Insurance Minimum Guidelines Act of 1992, effective July 22, 1992 (D.C. Law 9-170; D.C. Official Code § 31-3701 et seq.). …

2202 APPLICABILITY AND SCOPE 2202.1 Except as otherwise specifically provided in sections 2206, 2209, 2211, 2217 and 2225, this chapter shall apply to: (a) All Medicare supplement policies delivered or issued for delivery in the District of Columbia on or after May 1, 1999; and (…

2203 RESERVED SOURCE: Final Rulemaking published at 46 DCR 10175 (December 17, 1999); as amended by Final Rulemaking published at 50 DCR 4166 (May 30, 2003); as amended by Final Rulemaking published at 50 DCR 5882 (July 25, 2003); as amended by Final Rulemaking published at 53 DC…

2204 POLICY DEFINITIONS AND TERMS 2204.1 No policy or certificate may be advertised, solicited or issued for delivery in the District as a Medicare supplement policy or certificate unless such policy or certificate contains definitions or terms which conform to the requirements o…

2205 POLICY PROVISIONS 2205.1 Except for permitted preexisting condition clauses as described in subsection 2206.4, 2207.4, and 2207a.4 of this chapter, no policy or certificate may be advertised, solicited, or issued for delivery in the District as a Medicare supplement policy i…