this is an outdated text: switch to the updated & improved dc code website
home, about

The DC Code: § 31-3831 Definitions.

Index31 Insurance and Securities. (Refs & Annos)

For the purposes of this chapter, the term:

1
"Commissioner" means Commissioner of the Department of Insurance and Securities Regulation.
2
"District" means the District of Columbia.
3
"Group health plan" means an employee welfare plan (as defined in section 3 (1) of the Employee Retirement Income Security Act of 1974, approved September 2, 1974 (88 Stat. 829; 29 U.S.C. § 1002(1)), to the extent that the plan provides medical care and includes items and services paid for as medical care to employees or their dependents (as defined under the terms of the plan) directly or through insurance, reimbursement, or otherwise.
4
"Health insurance coverage" means benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise and includes items and services paid for as medical care) under any hospital or medical service policy or certificate, hospital, or medical service plan contract, or health maintenance organization contract offered by a health insurer.
5
"Health insurer" means any person that provides one or more health benefit plans or insurance in the District, including an insurer, a hospital and medical services corporation, a fraternal benefit society, a health maintenance organization, a multiple employer welfare arrangement, or any other person providing a plan of health insurance subject to the authority of the Commissioner.
6
"Health benefit plan" means any accident and health insurance policy or certificate, hospital and medical services corporation contract, health maintenance organization subscriber contract, plan provided by a multiple employer welfare arrangement, or plan provided by another benefit arrangement. The term "health benefit plan" does not mean accident only, credit, or disability insurance; coverage of Medicare services or federal employee health plans, pursuant to contracts with the United States government; Medicare supplement or long-term care insurance; dental only or vision only insurance; specified disease insurance; hospital confinement indemnity coverage; limited benefit health coverage; coverage issued as a supplement to liability insurance; insurance arising out of a workers' compensation or similar law; automobile medical payment insurance; medical expense and loss of income benefits; or insurance under which benefits are payable with or without regard to fault and that is statutorily required to be contained in any liability insurance policy or equivalent self-insurance.
7
"Individual health plan" means a plan offering health insurance coverage offered to individuals other than in connection with a group health plan.
8
"Mastectomy" means the surgical removal of all or substantially all of a breast as a result of breast cancer.

Historical and Statutory

Legislative History of Laws Law 13-254, the "Woman's Health and Cancer Rights Federal Law Conformity Act of 2000," was introduced in Council and assigned Bill No. 13-592, which was referred to the Committee on Human Services. The Bill was adopted on first and second readings on November 8, 2000, and December 5, 2000, respectively. Signed by the Mayor on December 22, 2000, it was assigned Act No. 13-541 and transmitted to both Houses of Congress for its review. D.C. Law 13-254 became effective on April 3, 2001. DC CODE § 31-3831 Current through December 11, 2012

Credits

(Apr. 3, 2001, D.C. Law 13-254, § 2, 48 DCR 723.)