disb

Department of Insurance, Securities and Banking

To find support and resources for federal workers, visit fedsupport.dc.gov.

Publications

United Healthcare of the Mid-Atlantic, Inc. HMO (Small Group)

Proposed 2025 Rates
United Healthcare

Continuing Education - Request for Waiver

Section 106.26 of Title 26 of the District of Columbia Municipal Code (DCMR), provides for a request for waiver from CE Requirements. Request for a waiver shall be made in writing and shall be submitted to the Commissioner no later than 90 days prior to the end of the license period.

Waiver Form

Insurance Tax Return Filing Packet - 2011

All licensed insurance companies, including reinsurance companies, registered risk retention groups, and risk purchasing groups must file the insurance tax return even if there were no direct written premiums in DC during the calendar year.

Captive Insurance Company Application

Instructions:

Captive Insurance Application

Transaction Certification Form for Broker-Dealers and Agents

Transaction Certification Form for Broker-Dealers and Agents

Transaction Certification Form for Broker-Dealers and Agents

Procedures for the Determination of Excess Surplus

Procedures for the Determination of Excess Surplus

Notice of Emergency and Proposed Rulemaking

carefirst_surplus_emerregs_070209frevised.pdf

Insurance Products Form Filings

Overview

The Government of the District of Columbia, Department of Insurance, Securities and Banking (DISB) mandated SERFF on October 1, 2007.

Uniform Consent to Service of Process - Form

Uniform Consent to Service of Process

Uniform Consent to Service of Process for Insurers.pdf

CareFirst BlueChoice, Inc. HMO (Individual)

Proposed 2025 Rates
CareFirst

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. HMO (Small Group)

Proposed 2025 Rates
Kaiser

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