Ohio Revised Code Search
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Section 3923.27 | Hospitalization coverage for mental illness.
... the Revised Code. Only that portion or per cent of the benefits shall be payable that has been assigned, or ordered to be paid, to the state or other appropriate provider for services rendered by the institution or facility. |
Section 3923.381 | Continuing coverage under group policy when reservist is called or ordered to active duty.
...amount shall not exceed one hundred two per cent of the group rate for the coverage being continued under the group policy on the due date of each payment. (b) The employer may pay a portion or all of the eligible person's contribution. (c) A reservist called or ordered to active duty for less than thirty-one days shall not be required to pay more than the eligible person's contribution, if any, for the coverage. ... |
Section 3923.382 | Continuing coverage under group plan when reservist is called or ordered to active duty.
...amount shall not exceed one hundred two per cent of the group rate for the coverage being continued under the group plan on the due date of each payment. (b) The employer may pay a portion or all of the eligible person's contribution. (c) A reservist called or ordered to active duty for less than thirty-one days shall not be required to pay more than the eligible person's contribution if any, for the coverage. (E)... |
Section 3923.50 | Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.
...unity-based services; (D) Provide five per cent inflation protection compounded annually; (E) Provide for the keeping of records and explanation-of-benefit reports on insurance payments that count toward resource exclusion for the medicaid program; (F) Provide the information the medicaid director determines is necessary to document the extent of resource exclusion and to evaluate the Ohio long-term care insu... |
Section 3923.51 | Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.
... that are no greater than three hundred per cent of the official poverty line. (C) Contracts offered pursuant to division (B) of this section are not subject to any of the following: (1) Sections 3923.24, 3923.28, 3923.281, and 3923.29 of the Revised Code; (2) Any other sickness and accident insurance coverage required under this chapter on August 3, 1989. Any requirement of sickness and accident insurance cove... |
Section 3924.21 | Overcharges.
... beneficiary an amount equal to fifteen per cent of the amount overcharged. (C) A provider or hospital shall not be required to comply with division (B) of this section if, at the time the third-party payer receives notice of the overcharge from the beneficiary, the provider, hospital, or third-party payer is in the process of correcting the error and such process can be documented. |
Section 3925.09 | Limitations on certain investments.
...ontinuance of the loans at least twenty per cent more than the sum loaned thereon. |
Section 3927.05 | Revocation and recall of license.
...ty in this state, or of controlling the per cent of commission or compensation to be allowed agents for procuring contracts for such insurance on such property, the superintendent of insurance forthwith shall revoke and recall the license to it to do business in this state, and no renewal of the license shall be granted for three years after its revocation. No such company, association, or partnership shall transact ... |
Section 3929.58 | Reinsurance agreement with Ohio mine subsidence insurance underwriting association.
...each company agrees to cede one hundred per cent, up to three hundred thousand dollars, of any subsidence insurance underwritten to the association and, in consideration of the ceding commission retained by the company, agrees to undertake payment of taxes and all other expenses of the company necessary for sale of policies. The association shall agree to provide a claims adjusting staff and to pay from the mine subs... |
Section 3929.59 | Distribution of premiums collected.
...Thirty per cent of all mine subsidence insurance premiums collected by each insurer for policies delivered, issued for delivery, or renewed in a county designated for optional coverage in accordance with division (A)(2) of section 3929.56 of the Revised Code, excluding premiums collected under such policies for mine subsidence insurance coverage which is not reinsured by the mine subsidence insurance underwriting ass... |
Section 3929.85 | Limits on assessments by associations.
... totaling in excess of two and one-half per cent of its net direct Ohio premium volume for the year next preceding the year in which the assessment or assessments are made or the contributions or participations are required. |
Section 3930.06 | Stabilization reserve fund.
...ion reserve fund charge equal to twenty per cent of the total annual premium payment due for insurance through the association without regard to whether assessment as authorized in section 3930.07 of the Revised Code has been imposed. Such charge shall be separately stated in the policy, and shall continue to be charged annually until the fund reaches a level that is determined by the board of governors to be actuari... |
Section 3930.08 | Contributing to financial requirements of association.
... that year in excess of one-half of one per cent of its net direct premiums within this state and the aggregate amount not so reimbursed shall be reallocated among the remaining members in accordance with the method of determining participation prescribed in this section, after excluding from the computation the total net direct premiums of all members not sharing in such excess deficit. If a member is assessed or ma... |
Section 3931.05 | Maintenance of reserve fund.
... maintain a reserve fund equal to fifty per cent of the amount of advance premiums or deposits received and receivable on unexpired contracts of indemnity running one year or less from date of issue, and a pro rata amount of premiums or deposits received or receivable on unexpired contracts of indemnity running more than one year from date of issue. If it appears to the superintendent of insurance that the assets, in... |
Section 3939.01 | Organizing mutual protective associations.
...not have at any one time more than ten per cent of its admitted assets invested in real estate. (D) An association organized under this section may seek permission from the superintendent of insurance to invest funds under Chapter 3906. of the Revised Code and may invest funds under that chapter if such permission is granted. (E) Any association organized under this section may insure farm buildings, resident... |
Section 3941.08 | Advance cash premiums.
...cies not exceeding on any one risk five per cent of the company's assets, to be issued for cash premiums payable in advance without contingent liability of the policyholder. |
Section 3941.16 | Issuance of policies by impaired company.
...al company is not more than twenty-five per cent of such company's reinsurance reserve fund, computed according to law, the superintendent of insurance may permit it to continue to issue policies for such period, not exceeding ninety days, as he designates. If such impairment is not restored within the period designated, or exceeds twenty-five percent of such reinsurance reserve, no such company shall issue new poli... |
Section 3941.19 | Personal liability of trustees or directors.
... premium notes amount in gross to three per cent of the amount at risk by the company. |
Section 3941.49 | Contract with only osteopathic hospital operating in county.
...ns one in which more than seventy-five per cent of the physicians are licensed osteopathic physicians. |
Section 3953.14 | Investments.
...ce company may invest not more than ten per cent of its admitted assets in a title plant without the prior approval of the superintendent. The title plant shall be considered an admitted asset at the fair value thereof. In determining the fair value of a title plant, no value shall be attributed to furniture and fixtures, and the real estate in which the title plant is housed shall be carried as real estate. The valu... |
Section 3955.01 | Definitions.
...ote, or holds proxies representing, ten per cent or more of the voting securities of any other person. This presumption may be rebutted by a showing that control does not exist in fact. (D)(1) "Covered claim" means an unpaid claim, including one for unearned premiums, which arises out of and is within the coverage of an insurance policy or policies to which sections 3955.01 to 3955.19 of the Revised Code apply, when... |
Section 3955.08 | Association powers and duties.
...mount not greater than one and one-half per cent of its net direct written premiums for the preceding calendar year on the kinds of insurance in that account. After an initial assessment has been made for an insolvency, any subsequent assessments for that insolvency may be calculated in the same manner as the initial assessment and may use the same calendar year's net direct written premiums as were used in determini... |
Section 3955.10 | Superintendent of insurance - powers and duties.
...due. Such penalty shall not exceed five per cent of the unpaid assessment per month, except that no penalty shall be less than one hundred dollars per month. (3) Revoke the designation of any servicing facility when he finds claims are being handled unsatisfactorily. (C) Any final action or order of the superintendent under sections 3955.01 to 3955.19 of the Revised Code is subject to judicial review under Chapter... |
Section 3956.10 | Plan of operation and amendments.
...lendar year that are subject to the two per cent calendar year assessment limitation; (7) Contain additional provisions necessary or proper for the execution of the powers and duties of the association. (D) The plan of operation may provide that any or all powers and duties of the association, except those under division (N)(3) of section 3956.08 and section 3956.09 of the Revised Code, are delegated to a corpora... |
Section 3956.11 | Duties and powers of superintendent - appeals - notification of chapter provisions.
...e. The forfeiture shall not exceed five per cent of the unpaid assessment per month, but shall not be less than one hundred dollars per month. (C) Any action of the board of directors or the association may be appealed to the superintendent by any member insurer if the appeal is taken within sixty days of the final action being appealed. If a member insurer is appealing an assessment, the amount assessed shall be p... |