™Your Policy Risk Impact Agent
101 chapters · 1,108 sections in this title.
D.C. Code § 31-3311.01 Ratemaking principles and standards
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(a) All insurance premium rates and fees shall be made in accordance with the principles and standards set forth in this section. Uniformity among insurers in matters within the scope of this section shall not be required or prohibited. (b) Due consideration shall be given to: (1…
D.C. Code § 31-3311.02 Aggregate medical loss ratios; dividend; and rating bands
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(a) For each calendar year, an insurer shall maintain an aggregate minimum medical loss ratio, as defined by rule, of 80% for individual policies, as defined by rule, 80% for small group policies, as defined by rule, and 85% for large group policies, as defined by rule. The medic…
D.C. Code § 31-3311.03 Loss ratio disclosure
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Policies, certificates, and marketing materials shall prominently display medical loss ratio disclosure, as defined by rule.
D.C. Code § 31-3311.03a Essential health benefits
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(a) Consistent with federal law, the Commissioner, with the approval of the Executive Board of the Health Benefit Exchange Authority, shall, by rule, select the benchmark plan for the individual and small group market for purposes of establishing the essential health benefits in …
