# D.C. Code § 31-3302.02: Special rules for network plans

> District of Columbia · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.02

## Section

- **Citation:** D.C. Code § 31-3302.02
- **Heading:** Special rules for network plans
- **Jurisdiction:** District of Columbia
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** DC Code / Title 31 / Chapter 33 / § 31-3302.02

## Text

(a) A health insurer that offers health insurance coverage in the individual market may:
(1) Limit the individuals who may be enrolled under such coverage to those who live, reside, or work within the service area for such network plan; and
(2) Within the service area of such plan, deny such coverage to such individuals if the health insurer has demonstrated to the Commissioner that:
(A) It will not have the capacity to deliver services adequately to additional individual enrollees because of its obligations to existing group contract holders, enrollees, and enrollees covered under individual contracts; and
(B) It is applying this section uniformly to individuals without regard to any health status-related factor of such individuals and without regard to whether the individuals are eligible individuals.
(b) A health insurer, upon denying health insurance coverage in the District of Columbia in accordance with subsection (a)(2) of this section, may not offer coverage in the individual market within such service area for a period of 180 days after such coverage is denied.

## Nearby sections

- [D.C. Code § 31-3301.01 § 31-3301.01. Definitions.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3301.01.md)
- [D.C. Code § 31-3302.01 § 31-3302.01. Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.01.md)
- [D.C. Code § 31-3302.02 § 31-3302.02. Special rules for network plans.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.02.md)
- [D.C. Code § 31-3302.03 § 31-3302.03. Application of financial capacity limits.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.03.md)
- [D.C. Code § 31-3302.04 § 31-3302.04. Market requirements.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.04.md)
- [D.C. Code § 31-3302.05 § 31-3302.05. Renewability of individual health insurance coverage.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.05.md)
- [D.C. Code § 31-3302.06 § 31-3302.06. Fair market provision.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.06.md)
- [D.C. Code § 31-3302.07 § 31-3302.07. Regulations establishing standards.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.07.md)
- [D.C. Code § 31-3302.08 § 31-3302.08. Applicability.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.08.md)
- [D.C. Code § 31-3302.09 § 31-3302.09. Construction.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.09.md)
- [D.C. Code § 31-3303.01 § 31-3303.01. Application of subchapter.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3303.01.md)
- [D.C. Code § 31-3303.02 § 31-3303.02. Availability of health benefit plans to small employers.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3303.02.md)
- [D.C. Code § 31-3303.03 § 31-3303.03. Renewability.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3303.03.md)
- [D.C. Code § 31-3303.04 § 31-3303.04. Reference to plan sponsor.](https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3303.04.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_DC_T31_C33_S31-3302.02. Check the current official text before relying on it. Not legal advice.