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Health Division
The Health Division:
- provides professional guidance, direction and sound advice to the Commissioner concerning technical managed care issues;
- determines whether policy forms marketed in the District are in compliance with New Born - Well Childcare Act, Drug Abuse, Alcohol Abuse and Mental Illness Insurance Act, as well as the Cancer Prevention Act;
- reviews the financial condition of health maintenance organizations to determine compliance with net worth requirements;
- coordinates with the Financial Examination and Market Conduct Divisions to administer financial and market conduct examinations of HMOs within statutory time frames;
- receives and processes all health related consumer complaints and inquiries; and
- responds to requests from consumers for assistance in resolving disputes regarding payment of claims, premium charges, unfair trade practices cancellations and non-renewals on health related policies.
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