Section 26-A3516. POWERS OF INSURANCE CORPORATIONS

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3516.1An insurance company licensed to do business in the District may organize and operate an HMO directly, through a subsidiary or affiliate, pursuant to section 18 of the Act, D.C. Code § 35-4517.

3516.2Any two (2) or more insurance companies licensed to do business in the District, or subsidiaries or affiliates of these companies, may jointly organize and operate an HMO.

3516.3An insurer may contract with an HMO to render insurance or similar protection against the costs of care provided through HMOs and to provide coverage in the event of the failure of an HMO to meet its obligations.

3516.4Under such contracts, the insurer may make benefit payments to HMOs for health care services rendered by providers.

source

Final Rulemaking published at 46 DCR 7291(September 17, 1999).

                    
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