94 chapters · 1,236 sections in this title.
D.C. Code § 31-5312 Conversion of fraternal benefit society into a mutual life insurance company
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Any domestic fraternal benefit society may be converted and licensed as a mutual life insurance company by compliance with all the applicable requirements of the laws of the District with respect to similar mutual legal reserve life insurance corporations if the plan of conversio…
D.C. Code § 31-5313 Benefits
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(a) A society may provide the following contractual benefits in any form: (1) Death benefits; (2) Endowment benefits; (3) Annuity benefits; (4) Temporary or permanent disability benefits; (5) Hospital, medical, or nursing benefits; (6) Monument or tombstone benefits to the memory…
D.C. Code § 31-5314 Beneficiaries
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(a) The owner of a benefit contract shall have the right at all times to change the beneficiary or beneficiaries in accordance with the laws or rules of the society unless the owner waives this right by specifically requesting in writing that the beneficiary designation be irrevo…
D.C. Code § 31-5315 Benefits not attachable
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No money or other benefit, charity, relief, or aid to be paid, provided, or rendered by any society, shall be liable to attachment, garnishment, or other process, or to be seized, taken, appropriated, or applied by any legal or equitable process or operation of law to pay any deb…
D.C. Code § 31-5316 Benefit contracts
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(a) Every society authorized to do business in the District shall issue to each owner of a benefit contract a certificate specifying the amount of benefits provided thereby. The certificate, together with any riders or endorsements attached thereto, the laws of the society, the a…
D.C. Code § 31-5317 Nonforfeiture benefits, cash surrender values, certificate loans, and other options
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(a) For certificates issued prior to one year after April 29, 1998, the value of every paid-up nonforfeiture benefit and the amount of any cash surrender value, loan, or other option granted shall comply with the provisions of law applicable immediately prior to April 29, 1998. (…
D.C. Code § 31-5318 Investments
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A domestic society shall invest its funds only in investments authorized by the laws of the District for the investment of assets of life insurers and subject to the limitations therein. Any foreign or alien society permitted or seeking to do business in the District which invest…
D.C. Code § 31-5319 Funds
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(a) All assets shall be held, invested and disbursed for the use and benefit of the society and no member or beneficiary shall have or acquire individual rights therein or become entitled to any apportionment on the surrender of any part thereof, except as provided in the benefit…
D.C. Code § 31-5320 Taxation
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Every society organized or licensed under this chapter is hereby declared to be a charitable and benevolent institution, and all of its funds shall be exempt from all and every state, county, district, municipal and school tax other than taxes on real estate and office equipment.
D.C. Code § 31-5321 Applicability of provisions
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Except as herein provided, societies shall be governed by this chapter and shall be exempt from all other provisions of the insurance laws of the District unless they are expressly designated therein, or unless they are specifically made applicable by this chapter.
D.C. Code § 31-5322 Valuation standards for certificates
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(a) Standards of valuation for certificates issued prior to one year after April 29, 1998 shall be those provided by the laws applicable immediately prior to April 29, 1998. (b)(1) The minimum standards of valuation for certificates issued on or after one year from April 29, 1998…
D.C. Code § 31-5323 Reports
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(a) Every society transacting business in the District shall annually, on or before March 1, unless for cause shown the time has been extended by the Commissioner, file with the Commissioner a true statement of its financial condition, transactions, and affairs for the preceding …
D.C. Code § 31-5324 Annual license
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Societies which are now authorized to transact business in the District, and all societies hereafter licensed, may continue such business until March 1 next succeeding April 29, 1998. The authority of the societies and all societies hereafter licensed, may thereafter be renewed a…
D.C. Code § 31-5325 Examination of societies; no adverse publications
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(a) The Commissioner, or any person he or she may appoint, may examine any domestic, foreign, or alien society transacting or applying for admission to transact business in the District in the same manner as authorized for examination of domestic, foreign, or alien insurers. Requ…
D.C. Code § 31-5326 Foreign or alien society; admission
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No foreign or alien society shall transact business in the District without a certificate of authority issued by the Commissioner in accordance with §§ 31-4501 and 31-4502 and § 31-2502.21.
D.C. Code § 31-5327 Injunction; liquidation; receivership of domestic society
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(a) When the Commissioner, upon investigation, finds that a domestic society has exceeded its powers; has failed to comply with any provision of this chapter; is not fulfilling its contracts in good faith; has a membership of less than 90 after an existence of one year or more; o…
D.C. Code § 31-5328 Suspension; revocation or refusal of license of foreign or alien society
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(a) When the Commissioner, upon investigation, finds that a foreign or alien society transacting or applying to transact business in the District has exceeded its powers; has failed to comply with any of the provisions of this chapter; is not fulfilling its contracts in good fait…
D.C. Code § 31-5329 Injunction
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No application or petition for injunction against any domestic, foreign or alien society, or lodge thereof, shall be recognized in any court of the District unless made by the Corporation Counsel upon request of the Commissioner.
D.C. Code § 31-5330 Licensing of agents
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(a) Agents of societies shall be licensed in accordance with the provisions of the laws regulating the licensing, revocation, suspension, or termination of license of resident and nonresident agents. No written or other examination shall be required of a person who is certified b…
D.C. Code § 31-5331 Unfair methods of competition; unfair and deceptive acts and practices
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Every society authorized to do business in the District and its agents shall be subject to the provisions of law applicable to life, accident, and health insurers relating to unfair and deceptive practices; provided, however, that nothing in such provisions shall be construed as …
D.C. Code § 31-5332 Penalties
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(a) Any person who makes a false or fraudulent statement in or relating to an application for membership or for the purpose of obtaining money from a benefit in any society shall, upon conviction, be fined not less than $100 nor more than $5,000 or be subject to imprisonment not …
D.C. Code § 31-5333 Exemption of certain societies
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(a) Nothing contained in this chapter shall be construed as to affect or apply to: (1) Grand or subordinate lodges of societies, orders, or associations now doing business in the District which provide benefits exclusively through local or subordinate lodges; (2) Orders, societie…
D.C. Code § 31-5334 Review
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All decisions and findings of the Commissioner made under the provisions of this chapter shall be subject to review as provided by subchapters I and II of Chapter 2 of Title 5.
D.C. Code § 31-5335 Severability
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If any provision of this chapter or the application of such provision to any circumstance is held invalid, the remainder of this chapter or the application of the provision to other circumstances, shall not be affected thereby.
D.C. Code § 31-5401 Definitions
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For the purposes of this chapter, the term: (1) “Account” means either of the 2 accounts created under § 31-5403. (2) “Association” means the District of Columbia Life and Health Insurance Guaranty Association created under § 31-5403. (2A) “Benefit plan” means a specific employee…
D.C. Code § 31-5402 Coverage and limitations
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(a) Coverage shall be provided for the policies and contracts issued to: (1) Persons who, regardless of where they reside (except for nonresident certificate holders under group policies or contracts), are the beneficiaries, assignees or payees of the persons covered under paragr…
D.C. Code § 31-5403 Creation of the Association
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(a)(1) There is created a nonprofit legal entity to be known as the District of Columbia Life and Health Insurance Guaranty Association. (2) All member insurers shall be and shall continually remain members of the Association as a condition of their authority to transact insuranc…
D.C. Code § 31-5404 Board of Directors
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(a)(1) The Board of Directors of the Association (“Board” or “Board of Directors”) shall consist of no less than 5 and no more than 9 member insurers serving terms as established in the plan of operation. (2) The members of the Board shall be selected by member insurers subject t…
D.C. Code § 31-5405 Powers and duties of the Association
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(a) If a member insurer is an impaired domestic insurer, the Association may, in its discretion and subject to any conditions imposed by the Association that do not impair the contractual obligations of the impaired insurer that are approved by the Mayor, and that are, except in …
D.C. Code § 31-5406 Assessments
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(a) The Board of Directors shall assess the member insurers for the amounts necessary to carry out the powers and duties of the Association. Assessments shall be made separately for the life insurance and annuity account and for the health insurance account and shall be maintaine…
D.C. Code § 31-5407 Plan of operation
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(a)(1) The Association shall submit to the Mayor a plan of operation, and any subsequent amendments that are necessary or suitable, to assure the fair, reasonable, and equitable administration of the Association. The plan of operation, and any amendments, shall become effective 3…
D.C. Code § 31-5408 Duties and powers of the Mayor
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(a) In addition to the duties and powers enumerated elsewhere in this chapter, the Mayor shall: (1) Upon request of the Board of Directors, provide the Association with a statement of the premiums in the District of Columbia and any other appropriate states for each member insure…
D.C. Code § 31-5409 Prevention of insolvencies
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(a) To aid in the detection and prevention of insurer impairments or insolvencies, the Mayor shall: (1) Transmit written notices to the insurance commissioners of all the other states and territories of the United States, within 30 days following the date any action is taken, whe…
D.C. Code § 31-5410 Credits for assessments paid
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(a) A member insurer may offset against its premium taxes an assessment described in § 31-5406(h) to the extent of 10% of the amount of the assessment for each of the 10 calendar years following the year in which the assessment was paid. In the event a member insurer should cease…
D.C. Code § 31-5411 Miscellaneous
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(a) Nothing in this chapter shall be construed to reduce the liability for unpaid assessments of the insureds of an impaired or insolvent insurer operating under a plan with assessment liability. (b)(1) Records shall be kept of all negotiations and meetings in which the Associati…
D.C. Code § 31-5412 Examination of the Association; annual report
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(a) The Association shall be subject to examination and regulation by the Mayor. (b) The Board of Directors shall submit to the Mayor each year, not later than 120 days after the end of the Association’s fiscal year, a financial report in a form approved by the Mayor and a report…
D.C. Code § 31-5413 Tax exemptions
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The Association shall be exempt from payment of all fees and all taxes levied by the District of Columbia.
D.C. Code § 31-5414 Immunity
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(a) There shall be no liability on the part of, and no cause of action shall arise against, any member insurer or its agents or employees, the Association or its agents or employees, members of the Board of Directors, or the Mayor or the Mayor’s representatives, for any action or…
D.C. Code § 31-5415 Stay of proceedings; reopening default judgments
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(a) All proceedings in which the insolvent insurer is a party in any court in the District of Columbia shall be stayed 180 days from the date an order of liquidation, rehabilitation, or conservation is final to permit proper legal action by the Association on any matters germane …
D.C. Code § 31-5416 Prohibited advertisement of Association act in insurance sale; notice to policyholders
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(a)(1) No person, including an insurer, agent, or affiliate of an insurer shall make, publish, disseminate, circulate, or place before the public, or cause directly or indirectly, to be made, published, disseminated, circulated or placed before the public, in any newspaper, magaz…
D.C. Code § 31-5501 Definitions
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For the purposes of this chapter, the term: (1) “Account” means any 1 of the 3 accounts created by § 31-5503. (2) “Affiliate” means a person who, directly or indirectly, through 1 or more intermediaries, controls, is controlled by, or is under common control with an insolvent ins…
D.C. Code § 31-5502 Applicability
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This chapter shall apply to all kinds of direct insurance, but shall not be applicable to the following: (1) Life, annuity, health, or disability insurance; (2) Mortgage guaranty, financial guaranty, or other forms of insurance offering protection against investment risks; (3) Fi…
D.C. Code § 31-5503 Creation of the Association
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There is created a nonprofit unincorporated legal entity to be known as the District of Columbia Insurance Guaranty Association. All insurers defined as member insurers in § 31-5501(9) shall be and remain members of the Association as a condition of their authority to transact in…
D.C. Code § 31-5504 Board of directors
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(a) The board of directors of the Association shall consist of not fewer than 5 nor more than 9 persons serving terms as established in the plan of operation. The members of the board shall be selected by member insurers subject to the approval of the Mayor. Vacancies on the boar…
D.C. Code § 31-5505 Powers and duties of the Association
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(a) The Association shall: (1) Be obligated to pay covered claims existing prior to the determination of the insolvency arising within 30 days after the determination of insolvency, or before the policy expiration date if less than 30 days after the determination of insolvency, o…
D.C. Code § 31-5506 Plan of operation
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(a)(1) The Association shall submit to the Mayor a plan of operations, and any amendments thereto, necessary or suitable to assure the fair, reasonable, and equitable administration of the Association. The plan of operation and any amendments thereto shall become effective upon a…
D.C. Code § 31-5507 Powers and duties of the Mayor
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(a) The Mayor shall: (1) Notify the Association of the existence of an insolvent insurer not later than 3 days after he or she receives notice of the determination of the insolvency. The Association shall be entitled to a copy of any complaint seeking an order of liquidation with…
D.C. Code § 31-5508 Effect of paid claims
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(a) Any person recovering under this chapter shall be deemed to have assigned his or her rights under the policy to the Association to the extent of his or her recovery from the Association. Every insured or claimant seeking the protection of this chapter shall cooperate with the…
D.C. Code § 31-5509 Nonduplication of recovery
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(a) Any person having a claim against an insurer under any provision in an insurance policy, other than a policy of an insolvent insurer which is also a covered claim, shall be required to exhaust first his or her right under such a policy. Any amount payable on a covered claim u…
D.C. Code § 31-5510 Prevention of insolvencies
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To aid in the detection and prevention of insurer insolvencies: (1) The board of directors may, upon majority vote: (A) Make recommendations to the Mayor for the detection and prevention of insurer insolvencies; and (B) Respond to requests by the Mayor to discuss and make recomme…