Title 31 — Insurance and Securities.
94 chapters · 1,236 sections in this title.
D.C. Code § 31-3601 Definitions
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For the purposes of this chapter, the term: (1) “Applicant” means: (A) In the case of an individual long-term care insurance policy, the person who seeks to contract for benefits; and (B) In the case of a group long-term care insurance policy, the proposed certificate holder. (2)…
D.C. Code § 31-3602 Scope
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(a) Any policy or rider advertised, marketed, or offered as long-term care or nursing home insurance delivered or issued for delivery in the District of Columbia shall comply with the provisions of this chapter. (b) This chapter is not intended to supersede the obligations of ent…
D.C. Code § 31-3603 Long-term insurance; who may issue
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Long-term care insurance may be issued by insurers, fraternal benefits societies, nonprofit health, hospital, and medical service corporations, prepaid health plans, and health maintenance organizations, and any similar organization to the extent they are otherwise authorized to …
D.C. Code § 31-3604 Group policies issued in other states
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No group long-term care insurance coverage may be offered to a resident of the District of Columbia under a group policy issued in another state to a group described in § 31-3601(4)(D), unless the District of Columbia, or another state having statutory and regulatory long-term ca…
D.C. Code § 31-3605 Standards for long-term care insurance
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(a) No long-term care insurance policy shall: (1) Be cancelled, not renewed, or otherwise terminated on the grounds of the age or deterioration of the mental or physical health of the insured individual or certificate holder; (2) Contain a provision establishing a new waiting per…
D.C. Code § 31-3606 Disclosure
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(a)(1) An outline of coverage, written at a fifth grade reading level, shall be delivered to a prospective applicant for long-term care insurance at the time of initial solicitation through means which prominently direct the attention of the recipient to the document and its purp…
D.C. Code § 31-3607 Minimum number of members for associations
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(a) Prior to advertising, marketing, or offering a group long-term care insurance policy within the District of Columbia, an association or associations, or an insurer of the association or associations, shall file evidence with the Commissioner that the association, or associati…
D.C. Code § 31-3608 Monthly reports
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Any time a long-term care benefit which is funded through a life insurance vehicle by the acceleration of the death benefit is in benefit payment status, a monthly report shall be provided to the policyholder. The monthly report shall include the following: (1) Any long-term care…
D.C. Code § 31-3609 Incontestability period
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(a) If a policy or certificate has been in force for less than 6 months, an insurer may rescind a long-term care insurance policy or certificate or deny an otherwise valid long-term care insurance claim upon a showing of misrepresentation that is material to the acceptance for co…
D.C. Code § 31-3609.01 Denial of claims
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If a claim under a long-term care insurance contract is denied, the issuer shall, within 60 days of the date of a written request by the policyholder or certificate holder, or a representative thereof: (1) Provide a written explanation of the reasons for the denial; and (2) Make …
D.C. Code § 31-3610 Nonforfeiture benefits
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(a) Except as provided in subsection (b) of this section, a long-term care insurance policy may not be delivered or issued for delivery in the District of Columbia unless the policyholder or certificate holder has been offered the option of purchasing a policy or certificate incl…
D.C. Code § 31-3611 Rules and regulations
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The Commissioner may issue rules to implement any provisions of this chapter. The rules may include: (1) Requirements for any disclosure made under this chapter, including the manner, content, and required disclosures for the sale of long-term care insurance policies, terms of re…
D.C. Code § 31-3612 Penalties
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In addition to any other penalties provided by law, if, after a judicial proceeding or an administrative proceeding conducted in accordance with subchapter I of Chapter 5 of Title 2, an insurer or any agent is found to have violated any requirements of this chapter, that insurer …