Ohio Administrative Code Search

...(A) Purpose The purpose of this rule is to govern the accreditation and operation of independent review organizations. (B) Authority This rule is issued pursuant to the authority vested 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 de...

...(A) Purpose The purpose of this rule is to establish regulatory standards for third party administrators. (B) Authority This rule is promulgated pursuant to the authority vested 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...

...(A) Purpose The purpose of this rule is to establish regulatory standards for third party administrators. (B) Authority This rule is promulgated pursuant to the authority vested 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...

...(A) Purpose. The purpose of this rule is to establish the form and content of the written consent form an insurer must use in order to obtain an applicant's consent to an HIV test. (B) Authority. This rule is issued pursuant to the authority vested 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 ...

...(A) Purpose The purpose of this rule is to establish the form and content of the written consent form an insurer uses in order to obtain an applicant's consent to an HIV test. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3901.041 of the Revised Code. (C) Applicability This rule applies to all insurers permitted by Chapter 3901. of...

...(A) Purpose The purpose of this rule is to assure truthful and adequate disclosure of all material and relevant information in the advertising of sickness and accident insurance. This purpose is intended to be accomplished by the establishment of, and adherence to, certain minimum standards and guidelines of conduct in the advertising of sickness and accident insurance in a manner which prevents ...

...(A) Purpose The purpose of this rule is to provide for the reasonable standardization of coverage and simplification of terms and benefits of medicare supplement policies; to facilitate public understanding and comparison of such policies; to eliminate provisions contained in such policies which may be misleading or confusing in connection with the purchase of such policies or with the settlement...

...(A) Purpose The purpose of this rule is to provide for the reasonable standardization of coverage and simplification of terms and benefits of medicare supplement policies; to facilitate public understanding and comparison of such policies; to eliminate provisions contained in such policies which may be misleading or confusing in connection with the purchase of such policies or with the settlement...

...(A) Purpose The purpose of this rule is to provide specific requirements for the dissemination of information concerning a public hearing 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 stateme...

...(A) Purpose The purpose of this rule is to define certain additional unfair trade practices and to set forth minimum standards in connection with the investigation and disposition of health claims arising under policies, certificates or 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 t...

...(A) Purpose The purpose of this rule is to define certain additional unfair trade practices and to set forth minimum standards in connection with the investigation and disposition of health claims arising under policies, certificates or 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 t...

...(A) Purpose The purpose of this rule is to define certain additional unfair trade practices and to set forth minimum standards in connection with the investigation and disposition of health claims arising under policies, certificates or contracts issued pursuant to Ohio's insurance statutes, rules and regulations under Titles XVII and XXXIX of the Revised Code. Violation of this rule does not cre...

...(A) Purpose The purpose of this rule is to implement the open enrollment 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 healt...

...(A) Purpose The purpose of this rule is to implement the open enrollment 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 healt...

...(A) Purpose The purpose of this rule is to implement and interpret applicable statutes including sections 3901.21 and 3923.16 of the Revised Code by further defining unfair trade practices and setting forth minimum standards for the adequate disclosure of any limitations or restrictions on access to providers/facilities to enrollees and to potential enrollees prior to enrollment in a particular h...

...(A) Purpose The purpose of this rule is to implement and interpret applicable statutes including sections 3901.21 and 3923.16 of the Revised Code by further defining unfair trade practices and setting forth minimum standards for the adequate disclosure of any limitations or restrictions on access to providers/facilities to enrollees and to potential enrollees prior to enrollment in a particular h...

...(A) Purpose The purpose of this rule is to implement sections 3902.50 to 3902.54 of the Revised Code. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under sections 3902.50 to 3902.54 of the Revised Code. (C) Scope This rule applies to all unanticipated out-of-network care as defined in section 3902.50 of the Revised Code. (D) No private cause of ...

...(A) Purpose The purpose of this rule is to provide standards for applicants applying for initial licensure as a viatical settlement provider in this state or renewal of a previously-issued license. This rule also provides form filing requirements and fees for licenses, renewals, and form approvals. (B) Authority This rule is promulgated under the authority granted the superintendent of insurance pursuant to sectio...

...(A) Purpose The purpose of this rule is to provide standards for applicants applying for initial licensure as a viatical settlement broker in this state or a renewal of a previously issued license and to the registration of insurance agents operating as a viatical settlement broker. This rule also provides form filing requirements and fees for licenses, renewals, and form approvals. (B) Authorit...

...(A) Purpose The purpose of this rule is to establish viatical settlement education (VSE) requirements, criteria, standards and procedures and fees for VSE providers, VSE courses and licensed viatical settlement brokers pursuant to Chapter 3916. of the Revised Code. (B) Authority This rule is issued pursuant to the authority vested in the superintendent under sections 3901.011, 3901.041, 3901.19 to ...

...(A) Purpose The purpose of this rule is to provide guidance to life insurance companies regarding the types of questions that must be included on life insurance applications pursuant to division (B) of section 3916.05 of the Revised Code to identify and prevent stranger-originated life insurance (STOLI). (B) Authority This rule is adopted pursuant to sections 3901.04, 3901.041, 3916.05 and 3916.20 of the Revised C...

...(A) Purpose The purpose of this rule is to establish the information to be filed by an applicant for authority to form and license an Ohio domiciled captive insurance company pursuant to section 3964.03 of the Revised Code. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3964.21 of the Revised Code. (C) Form of application The superintendent of insuranc...

...(A) Purpose The purpose of this rule is to establish the information to be filed by an applicant for authority to form and license an Ohio domiciled captive insurance company pursuant to section 3964.03 of the Revised Code. (B) Authority This rule is promulgated pursuant to the authority vested in the superintendent under section 3964.21 of the Revised Code. (C) Information to be provided In ...

...(A) Purpose The purpose of this rule is to establish the process and procedure for a captive insurance company to appoint an independent certified public accountant and file audited annual financial statements, an actuarial opinion on policy reserves, and annual statements with the superintendent of insurance pursuant to section 3964.07 of the Revised Code. (B) Authority This rule is promulgate...

...(A) Purpose The purpose of this rule is to establish the process and procedure for a captive insurance company to appoint an independent certified public accountant and file audited annual financial statements, an actuarial opinion on policy reserves, and annual statements with the superintendent of insurance pursuant to section 3964.07 of the Revised Code. (B) Authority This rule is promulgate...