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Current through October 23, 2012
This subchapter applies to health insurers offering group health insurance coverage. Each insurer proposing to issue group accident and sickness insurance policies providing hospital, medical and surgical or major medical coverage on an expense incurred basis, each corporation providing group accident and sickness subscription contracts, and each health maintenance organization or multiple employer welfare arrangement providing health care plans for health care services that offers coverage to the group market in the District of Columbia shall be subject to the provisions of this subchapter if any of the following conditions are met:
(1) Any portion of the premiums or benefits is paid by or on behalf of the employer;
(2) The eligible employee or dependent is reimbursed, whether through wage adjustments or otherwise, by or on behalf of the employer, for any portion of the premium; or
(3) The health benefit plan is treated by the employer or any of the covered individuals as part of a plan or program for the purpose of section 106, 125, or 162 of the United States Internal Revenue Code.
(Apr. 13, 1998, D.C. Law 12-209, § 301, 45 DCR 8433.)
HISTORICAL AND STATUTORY NOTES
Prior Codifications
1981 Ed., § 35-1031.
Temporary Addition of Section
See Historical and Statutory Notes following § 31-3301.01.
Emergency Act Amendments
See notes to § 31-3301.01.
Legislative History of Laws
For legislative history of D.C. Law 12-209, see Historical and Statutory Notes following § 31-3301.01.
References in Text
Sections 106, 125, and 162 of the United States Internal Revenue Code, referred to in (3), are 26 U.S.C.S. §§ 106, 125, and 162.
