Section 31-3303.13c - Licensing requirement for certain multiple employer welfare arrangements(a) A multiple employer welfare arrangement that is not fully insured, as described in subsection (c) of this section, shall not operate in the District or market, offer, or issue a health benefit plan to any individual or employer in the District without first meeting the requirements for, and becoming licensed as, an insurer, a hospital and medical services corporation, a fraternal benefit society, or a health maintenance organization.(b) The existence of contracts of reinsurance shall not be considered in determining whether a multiple employer welfare arrangement is fully insured.(c) For the purposes of this section, a multiple employer welfare arrangement is not fully insured unless the covered benefits it provides are:(1) Insured on a direct basis by an insurance company licensed to transact the business of insurance in District; or(2) Arranged for or provided on a direct basis by (A) A hospital and medical services corporation;(B) A fraternal benefit society;(C) A health maintenance organization licensed in the District; or(D) Any combination of these entities.Apr. 13, 1999, D.C. Law 12-209, § 313c; as added Mar. 22, 2019, D.C. Law 22-266, § 2(e), 66 DCR 1423.