Ohio Administrative Code Search

...mit and prescribe the use of the 2001 commissioners standard ordinary (CSO) mortality table in accordance with sections 3903.723 and 3915.071 of the Revised Code and rule 3901-6-10 of the Administrative Code (valuation of life insurance policies). (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3901.041, 3903.723, and 3915.071 of t...

...zed companies an alternative to rule 3901-6-11 of the Administrative Code, by recognizing, permitting and prescribing the use of mortality tables that reflect differences in mortality between preferred and standard lives in determining minimum reserve liabilities in accordance with sections 3903.723 and 3915.071 of the Revised Code and rule 3901-6-10 of the Administrative Code (valuation of insurance policies). (B) ...

...(A) Purpose (1) The purpose of this rule is to require insurance agents, as defined in this rule, to act in the best interest of the consumer when making a recommendation of an annuity and to require insurers, including fraternal benefit societies, to establish and maintain a system to supervise recommendations so that the insurance needs and financial objectives of consumers, at the time of the ...

...in the superintendent under sections 3901.041 and 3901.19 to 3901.21 of the Revised Code. (C) Applicability and scope This rule applies to all group and individual annuity contracts and certificates except: (1) Immediate and deferred annuities that contain no non-guaranteed elements; (2) Annuities used to fund: (a) An employee pension that is covered by the Employee Retirement and Income Security Act of 1974 (29...

...in the superintendent under sections 3901.041 and 3901.19 to 3901.21 of the Revised Code. (C) Applicability and scope This rule applies to all group and individual annuity contracts and certificates except: (1) Immediate and deferred annuities that contain no non-guaranteed elements; (2) Annuities used to fund: (a) An employee pension that is covered by the Employee Retirement and Income Security Act of 1974 (29...

... values, and to require the use of the "1980 Commissioners Standard Ordinary (CSO) Life Valuation Mortality Table" for use in determining the minimum standard of valuation of reserves and the minimum standard nonforfeiture values for preneed insurance products. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3901.041, 3903.72, 3903.721...

... values, and to require the use of the "1980 Commissioners Standard Ordinary (CSO) Life Valuation Mortality Table" for use in determining the minimum standard of valuation of reserves and the minimum standard nonforfeiture values for preneed insurance products. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3901.041, 3903.72, 3903.721...

...pose The purpose of this rule is to: (1) Permit plans to include a coordination of benefits "(COB)" provision; (2) Provide the authority for the orderly transfer of information needed to pay claims promptly; (3) Eliminate duplication of benefits by permitting a plan to reduce benefits paid when, pursuant to this rule, it is not required to pay its benefits first; (4) Reduce claim payment ...

...pose The purpose of this rule is to: (1) Permit plans to include a coordination of benefits "(COB)" provision; (2) Provide the authority for the orderly transfer of information needed to pay claims promptly; (3) Eliminate duplication of benefits by permitting a plan to reduce benefits paid when, pursuant to this rule, it is not required to pay its benefits first; (4) Reduce claim payment ...

...in the superintendent under sections 3901.041, 3901.21 and 3902.22 of the Revised Code. (C) Definitions As used in this rule (1) "CDT codes" means the most current dental terminology and codes prescribed by the American dental association. (2) "Claim" means any request submitted to a third-party payer for benefits or proceeds under a benefit plan or contract on a standardized health claim for...

...in the superintendent under sections 3901.041, 3901.19 to 3901.26 and 3922.22 of the Revised Code. (C) Applicability and scope Except as otherwise provided, this rule shall apply to: (1) Health plan issuers as defined in section 3922.01 of the Revised Code; and (2) Independent review organizations as defined in section 3922.01 of the Revised Code seeking accreditation or accredited by the supe...

...in the superintendent under sections 3901.041, 3901.19 to 3901.26 and 3922.22 of the Revised Code. (C) Applicability and scope Except as otherwise provided, this rule applies to: (1) Health plan issuers as defined in section 3922.01 of the Revised Code; and (2) Independent review organizations as defined in section 3922.01 of the Revised Code seeking accreditation or accredited by the superint...

...in the superintendent under sections 3901.041, 3959.01 to 3959.16, and 3959.99 of the Revised Code. (C) Definitions. As used in this rule: (1) "Third party administrator" means any person that adjusts or settles claims in connection with life, dental, vision, health, prescription drugs, or disability insurance plans, self-insurance programs or other benefit plans for a sponsor of a plan if eithe...

...in the superintendent under sections 3901.041, 3959.01 to 3959.16, and 3959.99 of the Revised Code. (C) Definitions. As used in this rule: (1) "Third party administrator" means any person that adjusts or settles claims in connection with life, dental, vision, health, prescription drugs, or disability insurance plans, self-insurance programs or other benefit plans for a sponsor of a plan if eithe...

... in the superintendent under section 3901.041 of the Revised Code. (C) Applicability. This rule applies to all insurers permitted by Chapter 3901. of the Revised Code to require applicants for life or sickness and accident insurance coverage to submit to an HIV test. (D) Definitions. (1) "AIDS" means the illness designated as acquired immune deficiency syndrome. (2) "HIV" means the human immunodeficiency virus id...

... in the superintendent under section 3901.041 of the Revised Code. (C) Applicability This rule applies to all insurers permitted by Chapter 3901. of the Revised Code to require applicants for life or sickness and accident insurance coverage to submit to an HIV test. (D) Definitions (1) "AIDS" means the illness designated as acquired immune deficiency syndrome. (2) "HIV" means the human im...

...ous advertising media. Section 3923.16 of the Revised Code prohibits the use of any advertising copy, advertising plan, or plan of solicitation in connection with the solicitation of sickness or accident insurance which is materially misleading or deceptive. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Cod...

...in the superintendent under sections 3901.041, 3923.33 and 3923.331 to 3923.339 of the Revised Code. (C) Applicability and scope (1) Except as otherwise specifically provided in paragraphs (G), (P), (Q), (T), and (Y) of this rule, this rule shall apply to: (a) All medicare supplement policies, delivered or issued for delivery in this state on or after the effective date of this rule; and (b) A...

...in the superintendent under sections 3901.041, 3923.33 and 3923.331 to 3923.339 of the Revised Code. (C) Applicability and scope (1) Except as otherwise specifically provided in paragraphs (G), (P), (Q), (T), and (Y) of this rule, this rule applies to: (a) All medicare supplement policies, delivered or issued for delivery in this state on or after the effective date of this rule; and (b) All c...

...of insurance pursuant to section 3923.021 of the Revised Code. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Code. (C) Definitions (1) "Notice" means a statement which sets forth at least the following: (a) The name and address of the insurer; (b) The date, time and place of the scheduled hearing; (c) The purpose of the heari...

... in the superintendent under section 3901.041 of the Revised Code. Sections 3901.20 and 3901.21 of the Revised Code, respectively, prohibit unfair or deceptive practices in the business of insurance and define certain acts or practices as unfair or deceptive. Section 3901.21 of the Revised Code also provides that the enumeration of specific unfair or deceptive acts or practices in the business of...

... in the superintendent under section 3901.041 of the Revised Code. Sections 3901.20 and 3901.21 of the Revised Code, respectively, prohibit unfair or deceptive practices in the business of insurance and define certain acts or practices as unfair or deceptive. Section 3901.21 of the Revised Code also provides that the enumeration of specific unfair or deceptive acts or practices in the business of...

... in the superintendent under section 3901.041 of the Revised Code. Sections 3901.20 and 3901.21 of the Revised Code, respectively, prohibit unfair or deceptive practices in the business of insurance and define certain acts or practices as unfair or deceptive. Section 3901.21 of the Revised Code also provides that the enumeration of specific unfair or deceptive acts or practices in the business of...

...nt statute, sections 3923.58 and 3923.581 of the Revised Code. This rule requires carriers to provide information to consumers, insurance agents and to the superintendent, pursuant to section 3923.582 of the Revised Code. The open enrollment requirements in this rule apply to any carrier that is in the business of issuing health benefit plans to individuals and/or non-employer groups. (B) Authori...

...nt statute, sections 3923.58 and 3923.581 of the Revised Code. This rule requires carriers to provide information to consumers, insurance agents and to the superintendent, pursuant to section 3923.582 of the Revised Code. The open enrollment requirements in this rule apply to any carrier that is in the business of issuing health benefit plans to individuals and/or non-employer groups. (B) Authori...