Ohio Administrative Code Search

...lity This rule shall apply to all life insurance policies, with or without nonforfeiture values, issued on or after January 1, 2000, subject to the following exceptions and conditions. (1) Exceptions (a) This rule shall not apply to any individual life insurance policy issued on or after January 1, 2000 if the policy is issued in accordance with and as a result of the exercise of a reentry provisio...

...nonforfeiture benefits for plans of insurance with separate premium rates for smokers and nonsmokers. (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) "Commissioners 1980 standard ordinary mortality tables (1980 "CSO"), with or without ten-year select mortality factors" means those tabl...

...ised Code by permitting individual life insurance policies to provide the same cash surrender values and paid-up nonforfeiture benefits to both men and women. No change in minimum valuation standards is implied by this rule. (C) Definitions (1) "Commissioners 1980 standard ordinary mortality tables" or "1980 CSO" "with or without ten-year select mortality factors" means those tables consisting o...

...inistrative 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 the Revised Code. (C) Definitions (1) "2001 CSO mortality table" means that mortality table, consisting of separate rates of mortality for male and female lives, developed by the American academ...

...f the Administrative Code (valuation of 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 the Revised Code. (C) Definitions (1) "2001 CSO mortality table" means that mortality table, consisting of separate rates of mortality for male and female lives, developed by the American academy of actuaries CS...

... 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 transaction, are ...

...e-tax or after-tax basis, and where the insurance company has been notified that plan participants may choose from among two or more fixed annuity providers and there is a direct solicitation of an individual employee by a agent for the purchase of an annuity contract. As used in this paragraph, direct solicitation shall not include any meeting held by an agent solely for the purpose of educating or enrolling employe...

...is rule is to establish for preneed insurance products minimum mortality standards for reserves and nonforfeiture 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...

... the annual independent review of title insurance agents' escrow, settlement, closing, and security deposit depository institution accounts. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3901.041 and 3953.33 of the Revised Code. (C) Definitions As used in this rule: (1) "Agent" means either an individual title insurance agent or a business entity tit...

...ions coverage to be maintained by title insurance agents or agencies under conditions specified in section 3953.23 of the Revised Code. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3901.041 and 3953.23 of the Revised Code. (C) Surety bond All title insurance agents or agencies that handle escrows in real property transactions not involving the issuan...

...e to be provided to mortgagors by title insurance agents concerning title insurance coverage under conditions specified in section 3953.30 of the Revised Code. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3901.041 and 3953.30 of the Revised Code. (C) Notice A title insurance agent issuing a lender's title insurance policy in conjunction with a reside...

...rship and licensing standards for title insurance agents and agencies in accordance with division (B) of section 3953.21 of the Revised Code, which prohibits certain persons from acting as agents for a title insurance company. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Code. (C) Definitions As used in this...

...rship and licensing standards for title insurance agents and agencies in accordance with division (B) of section 3953.21 of the Revised Code, which prohibits certain persons from acting as agents for a title insurance company. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Code. (C) Definitions As used in this...

...e, providing that the superintendent of insurance shall adopt, amend and rescind rules and make adjudications necessary to discharge his duties and exercise his powers under Title 39 of the Revised Code; and section 3902.14 of the Revised Code, providing that the superintendent may adopt rules to carry out the purposes of sections 3902.11 to 3902.14 of the Revised Code. (C) Definitions As used i...

...thority vested in the superintendent of insurance under section 3901.041 of the Revised Code, general rule making authority; and sections 3901.19 to 3901.22 of the Revised Code, the unfair and deceptive acts statute. (C) Definitions (1) "Discount" means any negotiated reduction or variation from the schedule of billed charges (including capitation) that a health care provider otherwise would require a patient and/o...

...5) "CMS form 1450" means the health insurance claim form published by CMS for use by institutional care practitioners. For purposes of this rule, the CMS form 1450 includes the UB-04 form and its successors. (6) "CMS form 1500" means the health insurance claim form published by CMS for use by health care practitioners. For purposes of this rule, the CMS form 1500 includes successor forms as a...

..., prescription drugs, or disability insurance plans, self-insurance programs or other benefit plans for a sponsor of a plan if either the sponsor or the plan is domiciled in this state or has its principal headquarters or principal administrative offices in this state. "Third party administrator" includes a pharmacy benefit manager. "Third party administrator" does not include any of the foll...

...cants 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 identified as the causative agent of AIDS. (3) "HIV test" means any test for the antibody or antigen to HIV that has been approved by the director of health under division (B) of sectio...

... in the sale of sickness and accident insurance coverage to persons eligible for medicare. (B) Authority This rule is promulgated pursuant to the authority vested 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, ...

... in the sale of sickness and accident insurance coverage to persons eligible for medicare. (B) Authority This rule is promulgated pursuant to the authority vested 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, ...

...pplemental sickness and accident health insurance policy by providing for the regulation of the solicitation and sale of medicare supplemental accident and health insurance policies; and to assure that medicare-eligible persons are not subjected to unfair or deceptive acts or practices in the solicitation and sale of medicare supplemental accident and health insurance policies by defining addition...

...ring scheduled by the superintendent 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 h...

...contracts issued pursuant to Ohio's insurance statutes, rules and regulations under Titles XVII and XXXIX of the Revised Code. Nothing herein shall be construed to create or imply a private cause of action for violation of this rule. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Code. Sections 3901.20 and 3901...

...contracts issued pursuant to Ohio's insurance statutes, rules and regulations under Titles XVII and XXXIX of the Revised Code. Nothing herein shall be construed to create or imply a private cause of action for violation of this rule. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Code. Sections 3901.20 and 3901...

...rs 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) Authority This rule is promulgated pursuant to the authority stated in sections 3901.041 and 3...