State Codes and Statutes
Statutes > Ohio > Title39 > Chapter3923
3923.01 Policy of sickness and accident insurance defined.
3923.011 Sickness and accident insurance definitions.
3923.02 Form of policy filed with superintendent.
3923.021 Approval or disapproval of premium rates.
3923.022 Maximum aggregate administrative expenses.
3923.03 Necessary provisions.
3923.04 Policy standard provisions.
3923.041 [Repealed].
3923.05 Provisions to conform to prescribed wording.
3923.06 Order of presentation of policy provisions.
3923.061 Interest on proceeds payable due to death by sickness or accident.
3923.07 Omission or substitution of provisions.
3923.071 Policies, applications, riders or indorsements issued prior to 10-1-53.
3923.08 Nonconflicting provisions permitted in policy.
3923.09 Validity of nonconforming policy.
3923.10 Industrial sickness and accident insurance.
3923.11 Sickness and accident insurance on a franchise plan.
3923.12 Group sickness and accident insurance.
3923.121 Association of insurers to provide basic medical coverage to persons 65 or older.
3923.122 Option for conversion from group policy to individual policy.
3923.123 Association of insurers to provide group health coverage to qualified unemployed persons.
3923.13 Blanket sickness and accident insurance.
3923.14 False statement in application - alteration of written application.
3923.141 Agent of the insurer.
3923.15 Unfair discrimination prohibited.
3923.16 Misleading or deceptive advertising prohibited.
3923.161 Describing cancellability and renewability provisions clearly and with prominence or emphasis.
3923.17 Prohibition of rebates not to prohibit commissions or dividends.
3923.18 Rights of insurer in defense of claim not waived.
3923.19 Benefits exempt from legal process - exception.
3923.20 Exemptions for certain insurance policies.
3923.21 Prohibition against delivery of policy on disapproved insurance form.
3923.22 Appeal - applicability of administrative procedure sections.
3923.23 Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.
3923.231 Reimbursement for services of licensed psychologist.
3923.232 Reimbursement for services of licensed dentist.
3923.233 Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician.
3923.234 Reimbursement for services of certified mechanotherapist.
3923.24 Continuing coverage for dependent children.
3923.241 Public employee benefit plans - continuing coverage for dependent children.
3923.25 Kidney dialysis benefits.
3923.26 Coverage for newly born children from the moment of birth.
3923.27 Hospitalization coverage for mental illness.
3923.28 Outpatient coverage for mental or emotional disorders.
3923.281 Sickness and accident policies - biologically based mental illness.
3923.282 Health coverage plans - biologically based mental illness.
3923.29 Outpatient, inpatient, and intermediate primary care benefits for alcoholism.
3923.30 Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism.
3923.301 Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician.
3923.31 Right to rescind individual policy of sickness and accident insurance.
3923.32 Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.
3923.33 Medicare supplement policy definitions.
3923.331 Statutes applicable to medicare supplement policies.
3923.332 Standards for policy provisions of medicare supplement policies and certificates.
3923.333 Benefits to be reasonable in relation to premium charged.
3923.334 Outline of coverage delivered at time application is made.
3923.335 Right to return policy or certificate and have premium refunded.
3923.336 Review and approval of advertisement by superintendent.
3923.337 Rules.
3923.338 Orders of superintendent.
3923.339 Severability.
3923.36 Excluding coverage of illness or injury covered by workers' compensation.
3923.37 Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy.
3923.38 Continuing policy upon termination of employment.
3923.381 Continuing coverage under group policy when reservist is called or ordered to active duty.
3923.382 Continuing coverage under group plan when reservist is called or ordered to active duty.
3923.39 Consolidated corporation cancelling individual policy for nonpayment.
3923.40 Coverage of adopted children.
3923.41 Long-term care insurance definitions.
3923.42 Citing provisions - applicability.
3923.43 Evidence to be filed by long-term care insurance association.
3923.44 Standards for full and fair disclosure for sale of long-term care insurance policies.
3923.441 Rescission of long-term care policy for misrepresentation.
3923.442 Offer of nonforfeiture benefit option with long-term care policy.
3923.443 Training required for agents selling long-term care policies.
3923.444 Compensation of agents selling long-term care policies.
3923.45 Forms.
3923.46 Rates for individual policy.
3923.47 Rules.
3923.48 Violation is unfair and deceptive insurance practice.
3923.49 Establishing outreach program to educate consumers.
3923.50 Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.
3923.51 Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.
3923.52 Screening mammography and cytologic screening benefits.
3923.53 Public employee benefit plan.
3923.54 Employee health care benefit plan.
3923.55 Policy to include benefits for child health supervision services from moment of birth until age nine.
3923.56 Plan to include benefits for child health supervision services from moment of birth until age nine.
3923.57 Pre-existing conditions provisions.
3923.571 Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan.
3923.58 Open enrollment coverage - insurers in the business of issuing individual policies of sickness and accident insurance.
3923.581 Open enrollment coverage - carriers in the business of issuing health benefit plans to individuals or nonemployer groups.
3923.582 Open enrollment coverage - responsibilities of superintendent of insurance.
3923.59 Open enrollment reinsurance program.
3923.60 Standard medical reference compendia for coverage of prescription drugs.
3923.601 Standardized prescription identification information - pharmacy benefits to be included.
3923.61 Public employee benefit plans - prescription drugs.
3923.62 Disclosing determination of usual and customary fee for dental benefits.
3923.63 Coverage of inpatient care and follow-up care for mother and her newborn.
3923.64 Public employee benefit plans - maternity benefits.
3923.65 Coverage for emergency services.
3923.651 [Repealed].
3923.66 Review of denials of health care coverage.
3923.67 Request for external review of coverage denial.
3923.68 Establishing reasonable external, independent review process.
3923.681 Sanctions for violations.
3923.69 No creation of cause of action.
3923.70 Admissibility of decision, opinion, or medicare reimbursement standard.
3923.75 Review of denials of health care coverage - public employee benefit plan.
3923.76 Request for external review of coverage denial - public employee benefit plan.
3923.77 Establishing reasonable external, independent review process - public employee benefit plan.
3923.78 No creation of cause of action - public employee benefit plan.
3923.79 Admissibility of decision, opinion, or medicare reimbursement standard - public employee benefit plan.
3923.80 Denial of coverage to cancer clinical trial participant.
3923.81 Covered person's payments not to exceed insurer payments.
3923.82 Coverage for alcohol or drug related losses or expenses.
3923.83 Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan.
3923.90 Health care coverage and quality council - creation.
3923.91 [Effective Until 9/6/2010] Health care coverage and quality council - responsibilities.
3923.99 Penalty.
State Codes and Statutes
Statutes > Ohio > Title39 > Chapter3923
3923.01 Policy of sickness and accident insurance defined.
3923.011 Sickness and accident insurance definitions.
3923.02 Form of policy filed with superintendent.
3923.021 Approval or disapproval of premium rates.
3923.022 Maximum aggregate administrative expenses.
3923.03 Necessary provisions.
3923.04 Policy standard provisions.
3923.041 [Repealed].
3923.05 Provisions to conform to prescribed wording.
3923.06 Order of presentation of policy provisions.
3923.061 Interest on proceeds payable due to death by sickness or accident.
3923.07 Omission or substitution of provisions.
3923.071 Policies, applications, riders or indorsements issued prior to 10-1-53.
3923.08 Nonconflicting provisions permitted in policy.
3923.09 Validity of nonconforming policy.
3923.10 Industrial sickness and accident insurance.
3923.11 Sickness and accident insurance on a franchise plan.
3923.12 Group sickness and accident insurance.
3923.121 Association of insurers to provide basic medical coverage to persons 65 or older.
3923.122 Option for conversion from group policy to individual policy.
3923.123 Association of insurers to provide group health coverage to qualified unemployed persons.
3923.13 Blanket sickness and accident insurance.
3923.14 False statement in application - alteration of written application.
3923.141 Agent of the insurer.
3923.15 Unfair discrimination prohibited.
3923.16 Misleading or deceptive advertising prohibited.
3923.161 Describing cancellability and renewability provisions clearly and with prominence or emphasis.
3923.17 Prohibition of rebates not to prohibit commissions or dividends.
3923.18 Rights of insurer in defense of claim not waived.
3923.19 Benefits exempt from legal process - exception.
3923.20 Exemptions for certain insurance policies.
3923.21 Prohibition against delivery of policy on disapproved insurance form.
3923.22 Appeal - applicability of administrative procedure sections.
3923.23 Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.
3923.231 Reimbursement for services of licensed psychologist.
3923.232 Reimbursement for services of licensed dentist.
3923.233 Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician.
3923.234 Reimbursement for services of certified mechanotherapist.
3923.24 Continuing coverage for dependent children.
3923.241 Public employee benefit plans - continuing coverage for dependent children.
3923.25 Kidney dialysis benefits.
3923.26 Coverage for newly born children from the moment of birth.
3923.27 Hospitalization coverage for mental illness.
3923.28 Outpatient coverage for mental or emotional disorders.
3923.281 Sickness and accident policies - biologically based mental illness.
3923.282 Health coverage plans - biologically based mental illness.
3923.29 Outpatient, inpatient, and intermediate primary care benefits for alcoholism.
3923.30 Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism.
3923.301 Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician.
3923.31 Right to rescind individual policy of sickness and accident insurance.
3923.32 Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.
3923.33 Medicare supplement policy definitions.
3923.331 Statutes applicable to medicare supplement policies.
3923.332 Standards for policy provisions of medicare supplement policies and certificates.
3923.333 Benefits to be reasonable in relation to premium charged.
3923.334 Outline of coverage delivered at time application is made.
3923.335 Right to return policy or certificate and have premium refunded.
3923.336 Review and approval of advertisement by superintendent.
3923.337 Rules.
3923.338 Orders of superintendent.
3923.339 Severability.
3923.36 Excluding coverage of illness or injury covered by workers' compensation.
3923.37 Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy.
3923.38 Continuing policy upon termination of employment.
3923.381 Continuing coverage under group policy when reservist is called or ordered to active duty.
3923.382 Continuing coverage under group plan when reservist is called or ordered to active duty.
3923.39 Consolidated corporation cancelling individual policy for nonpayment.
3923.40 Coverage of adopted children.
3923.41 Long-term care insurance definitions.
3923.42 Citing provisions - applicability.
3923.43 Evidence to be filed by long-term care insurance association.
3923.44 Standards for full and fair disclosure for sale of long-term care insurance policies.
3923.441 Rescission of long-term care policy for misrepresentation.
3923.442 Offer of nonforfeiture benefit option with long-term care policy.
3923.443 Training required for agents selling long-term care policies.
3923.444 Compensation of agents selling long-term care policies.
3923.45 Forms.
3923.46 Rates for individual policy.
3923.47 Rules.
3923.48 Violation is unfair and deceptive insurance practice.
3923.49 Establishing outreach program to educate consumers.
3923.50 Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.
3923.51 Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.
3923.52 Screening mammography and cytologic screening benefits.
3923.53 Public employee benefit plan.
3923.54 Employee health care benefit plan.
3923.55 Policy to include benefits for child health supervision services from moment of birth until age nine.
3923.56 Plan to include benefits for child health supervision services from moment of birth until age nine.
3923.57 Pre-existing conditions provisions.
3923.571 Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan.
3923.58 Open enrollment coverage - insurers in the business of issuing individual policies of sickness and accident insurance.
3923.581 Open enrollment coverage - carriers in the business of issuing health benefit plans to individuals or nonemployer groups.
3923.582 Open enrollment coverage - responsibilities of superintendent of insurance.
3923.59 Open enrollment reinsurance program.
3923.60 Standard medical reference compendia for coverage of prescription drugs.
3923.601 Standardized prescription identification information - pharmacy benefits to be included.
3923.61 Public employee benefit plans - prescription drugs.
3923.62 Disclosing determination of usual and customary fee for dental benefits.
3923.63 Coverage of inpatient care and follow-up care for mother and her newborn.
3923.64 Public employee benefit plans - maternity benefits.
3923.65 Coverage for emergency services.
3923.651 [Repealed].
3923.66 Review of denials of health care coverage.
3923.67 Request for external review of coverage denial.
3923.68 Establishing reasonable external, independent review process.
3923.681 Sanctions for violations.
3923.69 No creation of cause of action.
3923.70 Admissibility of decision, opinion, or medicare reimbursement standard.
3923.75 Review of denials of health care coverage - public employee benefit plan.
3923.76 Request for external review of coverage denial - public employee benefit plan.
3923.77 Establishing reasonable external, independent review process - public employee benefit plan.
3923.78 No creation of cause of action - public employee benefit plan.
3923.79 Admissibility of decision, opinion, or medicare reimbursement standard - public employee benefit plan.
3923.80 Denial of coverage to cancer clinical trial participant.
3923.81 Covered person's payments not to exceed insurer payments.
3923.82 Coverage for alcohol or drug related losses or expenses.
3923.83 Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan.
3923.90 Health care coverage and quality council - creation.
3923.91 [Effective Until 9/6/2010] Health care coverage and quality council - responsibilities.
3923.99 Penalty.
State Codes and Statutes
Statutes >
Ohio >
Title39 >
Chapter39233923.01 Policy of sickness and accident insurance defined.3923.011 Sickness and accident insurance definitions.3923.02 Form of policy filed with superintendent.3923.021 Approval or disapproval of premium rates.3923.022 Maximum aggregate administrative expenses.3923.03 Necessary provisions.3923.04 Policy standard provisions.3923.041 [Repealed].3923.05 Provisions to conform to prescribed wording.3923.06 Order of presentation of policy provisions.3923.061 Interest on proceeds payable due to death by sickness or accident.3923.07 Omission or substitution of provisions.3923.071 Policies, applications, riders or indorsements issued prior to 10-1-53.3923.08 Nonconflicting provisions permitted in policy.3923.09 Validity of nonconforming policy.3923.10 Industrial sickness and accident insurance.3923.11 Sickness and accident insurance on a franchise plan.3923.12 Group sickness and accident insurance.3923.121 Association of insurers to provide basic medical coverage to persons 65 or older.3923.122 Option for conversion from group policy to individual policy.3923.123 Association of insurers to provide group health coverage to qualified unemployed persons.3923.13 Blanket sickness and accident insurance.3923.14 False statement in application - alteration of written application.3923.141 Agent of the insurer.3923.15 Unfair discrimination prohibited.3923.16 Misleading or deceptive advertising prohibited.3923.161 Describing cancellability and renewability provisions clearly and with prominence or emphasis.3923.17 Prohibition of rebates not to prohibit commissions or dividends.3923.18 Rights of insurer in defense of claim not waived.3923.19 Benefits exempt from legal process - exception.3923.20 Exemptions for certain insurance policies.3923.21 Prohibition against delivery of policy on disapproved insurance form.3923.22 Appeal - applicability of administrative procedure sections.3923.23 Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.3923.231 Reimbursement for services of licensed psychologist.3923.232 Reimbursement for services of licensed dentist.3923.233 Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician.3923.234 Reimbursement for services of certified mechanotherapist.3923.24 Continuing coverage for dependent children.3923.241 Public employee benefit plans - continuing coverage for dependent children.3923.25 Kidney dialysis benefits.3923.26 Coverage for newly born children from the moment of birth.3923.27 Hospitalization coverage for mental illness.3923.28 Outpatient coverage for mental or emotional disorders.3923.281 Sickness and accident policies - biologically based mental illness.3923.282 Health coverage plans - biologically based mental illness.3923.29 Outpatient, inpatient, and intermediate primary care benefits for alcoholism.3923.30 Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism.3923.301 Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician.3923.31 Right to rescind individual policy of sickness and accident insurance.3923.32 Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.3923.33 Medicare supplement policy definitions.3923.331 Statutes applicable to medicare supplement policies.3923.332 Standards for policy provisions of medicare supplement policies and certificates.3923.333 Benefits to be reasonable in relation to premium charged.3923.334 Outline of coverage delivered at time application is made.3923.335 Right to return policy or certificate and have premium refunded.3923.336 Review and approval of advertisement by superintendent.3923.337 Rules.3923.338 Orders of superintendent.3923.339 Severability.3923.36 Excluding coverage of illness or injury covered by workers' compensation.3923.37 Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy.3923.38 Continuing policy upon termination of employment.3923.381 Continuing coverage under group policy when reservist is called or ordered to active duty.3923.382 Continuing coverage under group plan when reservist is called or ordered to active duty.3923.39 Consolidated corporation cancelling individual policy for nonpayment.3923.40 Coverage of adopted children.3923.41 Long-term care insurance definitions.3923.42 Citing provisions - applicability.3923.43 Evidence to be filed by long-term care insurance association.3923.44 Standards for full and fair disclosure for sale of long-term care insurance policies.3923.441 Rescission of long-term care policy for misrepresentation.3923.442 Offer of nonforfeiture benefit option with long-term care policy.3923.443 Training required for agents selling long-term care policies.3923.444 Compensation of agents selling long-term care policies.3923.45 Forms.3923.46 Rates for individual policy.3923.47 Rules.3923.48 Violation is unfair and deceptive insurance practice.3923.49 Establishing outreach program to educate consumers.3923.50 Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.3923.51 Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.3923.52 Screening mammography and cytologic screening benefits.3923.53 Public employee benefit plan.3923.54 Employee health care benefit plan.3923.55 Policy to include benefits for child health supervision services from moment of birth until age nine.3923.56 Plan to include benefits for child health supervision services from moment of birth until age nine.3923.57 Pre-existing conditions provisions.3923.571 Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan.3923.58 Open enrollment coverage - insurers in the business of issuing individual policies of sickness and accident insurance.3923.581 Open enrollment coverage - carriers in the business of issuing health benefit plans to individuals or nonemployer groups.3923.582 Open enrollment coverage - responsibilities of superintendent of insurance.3923.59 Open enrollment reinsurance program.3923.60 Standard medical reference compendia for coverage of prescription drugs.3923.601 Standardized prescription identification information - pharmacy benefits to be included.3923.61 Public employee benefit plans - prescription drugs.3923.62 Disclosing determination of usual and customary fee for dental benefits.3923.63 Coverage of inpatient care and follow-up care for mother and her newborn.3923.64 Public employee benefit plans - maternity benefits.3923.65 Coverage for emergency services.3923.651 [Repealed].3923.66 Review of denials of health care coverage.3923.67 Request for external review of coverage denial.3923.68 Establishing reasonable external, independent review process.3923.681 Sanctions for violations.3923.69 No creation of cause of action.3923.70 Admissibility of decision, opinion, or medicare reimbursement standard.3923.75 Review of denials of health care coverage - public employee benefit plan.3923.76 Request for external review of coverage denial - public employee benefit plan.3923.77 Establishing reasonable external, independent review process - public employee benefit plan.3923.78 No creation of cause of action - public employee benefit plan.3923.79 Admissibility of decision, opinion, or medicare reimbursement standard - public employee benefit plan.3923.80 Denial of coverage to cancer clinical trial participant.3923.81 Covered person's payments not to exceed insurer payments.3923.82 Coverage for alcohol or drug related losses or expenses.3923.83 Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan.3923.90 Health care coverage and quality council - creation.3923.91 [Effective Until 9/6/2010] Health care coverage and quality council - responsibilities.3923.99 Penalty.
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