110. HEALTH CARRIER ASSESSMENT GENERAL PROVISIONS

110 HEALTH CARRIER ASSESSMENT GENERAL PROVISIONS 110.1 Pursuant to Section 4(f) of the Act (D.C. Official Code § 31-3171.03(f)), the Health Benefit Exchange Authority (HBX) shall annually assess each health carrier defined in Section 2(6) of the Act (D.C. Official Code § 31-3171.01(6)). 110.2 For purposes of this chapter and under D.C. Official Code § 31-3171.01(6), an accident and sickness insurance company includes companies offering certain insurance products, including but not limited to: Major medical; and Excepted benefits as set forth in 45 C.F.R. § 146.145 and 45 C.F.R. § 148.220 unless otherwise specified in Subsection 110.3. 110.3 For purposes of this chapter and under D.C. Official Code § 31-3171.01(3A), health insurance carrier risks do not include each of the following: Coverage for on-site medical clinics; Coverage issued as a supplement to liability insurance; Credit-only insurance (including mortgage insurance); Federal Employees Dental and Vision Insurance Program, as set forth at 5 C.F.R. §§ 894.101 et seq.; Federal Employees Health Benefits Program, as set forth at 5 C.F.R §§ 890.101 et seq.; Fraternal benefit societies, as set forth in Section 1202 of the Fraternal Benefit Societies Act of 1998, effective April 29, 1998 (D.C. Law 12-86; D.C. Official Code § 31-5301); Liability insurance, including general liability and auto liability insurance; Medicare Part D, as set forth at 42 U.S.C. §§ 1395w-101 et seq.; Stop-loss insurance; and Workers’ compensation or similar insurance. SOURCE: Final Rulemaking published at 63 DCR 9668 (July 22, 2016). District of Columbia Municipal Regulations Health Benefit Exchange 26-D DCMR § 110