Ohio Administrative Code Search
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Rule 123:1-47-01 | Definition of terms.
...occurs. For purposes of state paid life insurance, dental insurance, vision insurance, and disability leave benefits, continuous service means the uninterrupted service in which an employee is paid directly by warrant of the director of budget and management where no break in service occurs. (24) "County offices" - means those agencies, boards, commissions, departments, and elected offices of the... |
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Rule 123:1-47-01 | Definition of terms.
...occurs. For purposes of state paid life insurance, dental insurance, vision insurance, and disability leave benefits, continuous service means the uninterrupted service in which an employee is paid directly by warrant of the director of budget and management where no break in service occurs. (24) "County offices" - means those agencies, boards, commissions, departments, and elected offices of the... |
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Rule 123:1-71-01 | Definitions.
...o the business of sickness and accident insurance under Title XXXIX of the Revised Code or a professional claim administrator with which the director has contracted to administer the program of health care benefits pursuant to section 124.87 of the Revised Code. (D) "State authority" means every organized body, office and agency established by the laws of the state for the exercise of any function of state governmen... |
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Rule 123:1-71-01 | Definitions.
...o the business of sickness and accident insurance under Title XXXIX of the Revised Code or a professional claim administrator with which the director has contracted to administer the program of health care benefits pursuant to section 124.87 of the Revised Code. (D) "State authority" means every organized body, office and agency established by the laws of the state for the exercise of any functio... |
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Rule 123:1-71-02 | Administration of the fund.
...consultation with the superintendent of insurance, and in consideration of the following factors: (1) Cost of providing required administrative service; (2) Claim service capability, including location of claim office, nature of claim processing system, claim payment turn-around time, and productivity of claim processors; (3) Evidence of the effective exercise of claim control and cost containment capability; (4)... |
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Rule 123:1-71-02 | Administration of the fund.
...consultation with the superintendent of insurance, and in consideration of the following factors: (1) Cost of providing required administrative services; (2) Claim service capability, including location of claim offices, nature of claim processing systems, claim payment turn-around time, and productivity of claim processors; (3) Evidence of the effective exercise of claim control and cost c... |
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Rule 123:1-71-03 | Eligibility, contribution and withdrawal procedures.
...efits, any deductibles, co-payments, co-insurance, and conditions or limitations of such benefits to be provided to employees, elected, and appointed officials covered by the state employee health benefit fund. The director may also make such changes to the benefits from time to time as may be required to reasonably provide health care for such employees, elected and appointed officials, and their dependents with fun... |
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Rule 123:1-71-03 | Eligibility, contribution and withdrawal procedures.
...efits, any deductibles, co-payments, co-insurance, and conditions or limitations of such benefits to be provided to employees, elected, and appointed officials covered by the state employee health benefit fund. The director may also make such changes to the benefits from time to time as may be required to reasonably provide health care for such employees, elected and appointed officials, and their... |
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Rule 123:1-71-03 | Eligibility, contribution and withdrawal procedures.
...s, any deductibles, co-payments, co-insurance, and conditions or limitations of such benefits to be provided to employees, elected, and appointed officials covered by the state employee health benefit fund. The director may also make such changes to the benefits from time to time as may be required to reasonably provide health care for such employees, elected and appointed officials, and their... |
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Rule 123:1-71-04 | Actuarial evaluation of the fund.
...d actuary familiar with life and health insurance, a report showing a complete actuarial evaluation of the fund and the adequacy of the rates of contribution and reserves. The report shall contain such recommendations as the actuary considers advisable. The director may at any time request the actuary to conduct studies or evaluations to determine the adequacy of the rates of contribution. Such rates may be adjusted ... |
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Rule 123:1-71-04 | Actuarial evaluation of the fund.
...d actuary familiar with life and health insurance, a report showing a complete actuarial evaluation of the fund, the adequacy of the rates of contribution and reserves, and such recommendations as the actuary considers advisable. The director may at any time request the actuary to conduct studies or evaluations to determine the adequacy of the rates of contribution. Such rates may be adjusted by the directo... |
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Rule 123:1-71-05 | Ensuring the integrity of the fund.
...ral assembly, and the superintendent of insurance. The report shall include a detailed financial statement of the fund and the expenses incurred pursuant to section 124.87 of the Revised Code so that the cost of the fund can be determined and identified. The report shall include, but not be limited to, the following information: (1) Assets and liabilities; (2) Income and expenditures; (3) Benefits paid and reserve... |
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Rule 123:1-71-05 | Ensuring the integrity of the fund.
...assembly, and the superintendent of insurance. The report will include, but not be limited to, the following information: (1) A detailed financial statement of the fund; (2) Expenses incurred pursuant to section 124.87 of the Revised Code so that the cost of the fund can be determined and identified; (3) Assets and liabilities; (4) Income and expenditures; (5) Benefits paid and reserves ... |
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Rule 123:5-1-01 | Definitions.
..., materials, other tangible assets, and insurance, but excluding real property or an interest in real property. (MM) "Veteran" means any person who has completed service in the armed forces, including the national guard of any state, or a reserve component of the armed forces, who has been honorably discharged or discharged under honorable conditions from the armed forces or that has been transfe... |
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Rule 123:6-1-01 | Definitions.
...vehicles within the state agency. (I) "Insurance Cost" has the same meaning as in division (O)(3)(c) of section 125.832 of the Revised Code. (J) "Law Enforcement Officer" has the same meaning as in division (F) of section 125.831 of the Revised Code. (K) "Motor Pool" means the vehicles a state agency has that are available to all qualified employees of that state agency. (L) "Motor vehicle... |
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Rule 124-1-02 | Definitions.
... the cost of the appointing authority's insurance or other contributions, longevity pay, supplemental pay and hazard pay. (R) "Pay range" means the salary schedule and level assigned to a position. (S) "Position" means a group of duties intended to be performed by an employee. (T) "Position description" means a written summary of the duties which comprise a position. (U) "Progressive discipline" generally means t... |
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Rule 126-1-02 | Rates and requirements for reimbursement of travel expenses of state agents.
...ted by a state agency and endorsed onto insurance coverage through the department of administrative services. Reimbursement is authorized for incurred service expenses necessary to the efficient and safe operation of a state-owned or leased motor vehicle. (2) Travel by privately owned automobile Travel by privately owned automobile is authorized only if the owner thereof is insured under a polic... |
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Rule 126-1-02 | Rates and requirements for reimbursement of travel expenses of state agents.
...ved by a state agency and endorsed onto insurance coverage through the department of administrative services. (b) Pursuant to this paragraph, mileage expenses incurred on state business when traveling by privately owned automobile, not including ride-sharing services, when the automobile owner has been so approved and is insured under a policy of liability insurance complying with the requirements of section 4509.51... |
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Rule 127-1-04 | Application to the minority business bonding program.
...eives advice from the superintendent of insurance regarding the standard market rates for premiums for similar bonds. All premiums for business bonds shall be paid in advance in a lump sum and shall be paid into the minority business bonding program administrative and loss reserve fund. (3) A retainage of money shall be paid for the bond issued pursuant to division (D) of section 122.89 of the Revised Code. (4) Evi... |
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Rule 145-2-27 | Disability benefit recipient's annual statement.
...lication for social security disability insurance ("SSDI"), benefit payments and a copy of the annual SSDI reward letter, if applicable. (3) A disability benefit recipient is not required to file the statement described in this rule if the recipient is subject to a guardianship, has attained age seventy, or resides in a skilled nursing facility. (B) The recipient's statement shall be made on... |
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Rule 145-4-28 | Administration of 401(h) retiree medical account-claims and appeals.
...led in or has disenrolled from a health insurance issuer, health maintenance organization, or health insuring corporation offered by the plan. (3) "Plan" means any health plan maintained by the Ohio public employees retirement system under the authority granted in section 145.58 of the Revised Code. (4) "Plan administration functions" means administrative functions performed by the plan sponsor of a health plan on ... |
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Rule 148-1-01 | Ohio public employees deferred compensation program.
...program. (11) "Funding agents" - Those insurance companies, banks and other financial institutions that the board shall select to invest compensation deferred under plans adopted under the program. (12) "Participant's account" - An account or accounts maintained by the plan administrator reflecting the interest of a participant, alternate payee or beneficiary under the plan. (13) "Payroll center(s)" - Those facil... |
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Rule 153:1-3-02 | Form of subcontract.
...rights thereunder for its benefit. (4) Insurance: The subcontract form shall contain a provision requiring the subcontractor to maintain insurance in accordance with the contract documents. (5) Right to audit: The subcontract form shall contain a provision entitling the public authority and any agents designated by the public authority to have access to and the right to audit and the right to copy at the public a... |
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Rule 164-1-39 | Privacy policy.
...ted health information under the Health Insurance Portability and Accountability Act). (3) 42 U.S.C. 9501 and 42 U.S.C. 10841 (patient records). (4) 42 C.F.R. 482.13 (patient records). (5) 42 C.F.R. Part 2 (confidentiality of alcohol and drug abuse patient records). (6) 42 U.S.C. 1396a(a) (medicaid records). (7) Sections 5119.27 and 5119.28 of the Revised Code (confidentiality of records). ... |
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Rule 164-2-15 | Privacy policy.
...health information under the Health Insurance Portability and Accountability Act). (3) 42 U.S.C. 9501 and 42 U.S.C. 10841 (patient records). (4) 42 C.F.R. 482.13 (patient records). (5) 42 C.F.R. Part 2 (confidentiality of alcohol and drug abuse patient records). (6) 42 U.S.C. 1396a(a) (medicaid records). (7) Sections 5119.27 and 5119.28 of the Revised Code (confidentiality of records... |