D.C. Mun. Regs. tit. 26, r. 26-A3516
Current through Register Vol. 71, No. 49, December 6, 2024
An 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.
Any 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.
An 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.
Under such contracts, the insurer may make benefit payments to HMOs for health care services rendered by providers.
D.C. Mun. Regs. tit. 26, r. 26-A3516