Ohio Revised Code Search
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Section 3916.171 | Fraudulent viatical settlement acts prohibited.
...ny payments and changes in ownership or beneficiary made in accordance with the terms of a viatical settlement contract or a policy; (f) The reinstatement or conversion of a policy; (g) The solicitation, offer, effectuation, or sale of a viatical settlement contract or a policy; (h) The issuance of written evidence of a viatical settlement contract or a policy; (i) A financing transaction; (j) Any applicati... |
Section 3917.05 | Exemption of policy proceeds from attachment.
...pay any liability of such employee, his beneficiary, or any other person who may have a right thereunder, either before or after payment. |
Section 3918.06 | Delivery of policy or group certificate of insurance to debtor.
...t any such excess shall be payable to a beneficiary, other than the creditor, named by the debtor or to his estate. (C) Said individual policy or group certificate of insurance shall be delivered to the insured debtor at the time the indebtedness is incurred, except as provided in division (D) of this section. (D) If said individual policy or group certificate of insurance is not delivered to the debtor at the tim... |
Section 3919.13 | Amendment of articles to change plan of insurance.
...in amount the maximum amount payable to beneficiary on such member's certificates, unless such limitation is expressly waived by such company or association, the premiums on which shall be reduced each year by the annuity purchasable by his credit in the funds of the company or association; (B) To retain his original certificate. If such member elects to retain his original certificate, or if he fails to make an el... |
Section 3919.15 | Prohibition against assessment plan companies.
...e assessment plan, other than fraternal beneficiary associations, shall do business within this state, except those companies which, as of August 9, 1913, are authorized to do business within this state and which value their assessment policies or certificates of membership as yearly renewable term policies, according to the standard of valuation of life insurance policies prescribed by the laws of this state. |
Section 3919.21 | Admission of foreign insurance companies.
...s of age, or upon any life in which the beneficiary named has not a legal insurable interest. No license to do business in this state shall be delivered to any such corporation, company, or association until it has filed with the superintendent an appointment of an attorney within this state upon whom service of process may be had. |
Section 3921.02 | Fraternal benefit society requirements.
...Any incorporated society, order, or supreme lodge, without capital stock, including one exempted under division (A)(2) of section 3921.37 of the Revised Code whether incorporated or not, conducted solely for the benefit of its members and their beneficiaries and not for profit, operated on a lodge system with ritualistic form of work, having a representative form of government, and providing benefits in accordance wi... |
Section 3921.05 | Purpose of fraternal benefit society.
...(A) A fraternal benefit society shall operate for the benefit of its members and their beneficiaries by providing any of the benefits set forth in section 3921.16 of the Revised Code, and by operating for social, intellectual, educational, charitable, benevolent, moral, fraternal, patriotic, or religious purposes for the benefit of its members and any other persons as determined by the society. Such purposes may be c... |
Section 3921.09 | Limitation on powers or authority.
...ing on the society and every member and beneficiary of a member. |
Section 3921.18 | Exemption of benefits from attachment or garnishment.
...ay any debt or liability of a member or beneficiary, or any other person who may have a right, either before or after payment by the society. |
Section 3921.19 | Certificate specifying amount of benefits provided under benefit contract.
...(A) Each fraternal benefit society authorized to do business in this state shall issue to each owner of a benefit contract a certificate specifying the amount of benefits provided under the contract. The certificate, together with any riders or endorsements attached to the certificate, the laws of the society, the application for membership, the application for insurance and declaration of insurability, if any, signe... |
Section 3921.22 | No individual right to assets.
...d benefit of the society. No member or beneficiary shall have or acquire individual rights to the assets, or be entitled to any apportionment on the surrender of any part of the assets, except as provided in the benefit contract. (B) A society may create, maintain, invest, disburse, and apply any special fund or funds necessary to carry out any purpose permitted by the laws of the society. No society shall, d... |
Section 3923.041 | Policies with prior authorization requirement provisions.
... plan and a health care practitioner or beneficiary that is contrary to divisions (A) to (C) of this section is unenforceable. (E) For policies issued on or after January 1, 2017, committing a series of violations of this section that, taken together, constitute a practice or pattern shall be considered an unfair and deceptive practice under sections 3901.19 to 3901.26 of the Revised Code. (F) The superintendent of... |
Section 3923.05 | Provisions to conform to prescribed wording.
...y elected by the insured, the insured's beneficiary or the insured's estate, as the case may be, and the insurer will return all premiums paid for all other such policies. (D) A provision as follows: Insurance with other insurers. If there be other valid coverage, not with this insurer, providing benefits for the same loss on a provision of service basis or on an expense incurred basis and of which this insu... |
Section 3923.09 | Validity of nonconforming policy.
... the insurer, the policyholder, and the beneficiary shall be governed by such sections. |
Section 3923.13 | Blanket sickness and accident insurance.
...he person insured, or to his designated beneficiary, or to his estate, except that if the person insured is a minor, such benefits may be made payable to his parent, guardian, or other person actually supporting him. This section does not affect the legal liability of policyholders for the death of, or injury to, any member of any such group. |
Section 3923.141 | Agent of the insurer.
... controversy between the insured or his beneficiary and the insurer issuing or reinstating a policy upon such application or accepting or making a renewal of such policy. |
Section 3923.19 | Benefits exempt from legal process - exception.
... the support of the person who is the beneficiary of the plan or party to the contract and any dependents of the person, is not liable to attachment or other process, or to be taken, appropriated, or applied by any legal or equitable process or by operation of law, either before or after payment of the benefits, to pay any liabilities of the person unless all of the following apply: (a) The plan or cont... |
Section 3923.281 | Sickness and accident policies - biologically based mental illness.
...(A) As used in this section: (1) "Biologically based mental illness" means schizophrenia, schizoaffective disorder, major depressive disorder, bipolar disorder, paranoia and other psychotic disorders, obsessive-compulsive disorder, and panic disorder, as these terms are defined in the most recent edition of the diagnostic and statistical manual of mental disorders published by the American psychiatric association. ... |
Section 3923.282 | Health coverage plans - biologically based mental illness.
...(A) As used in this section: (1) "Biologically based mental illness" means schizophrenia, schizoaffective disorder, major depressive disorder, bipolar disorder, paranoia and other psychotic disorders, obsessive-compulsive disorder, and panic disorder, as these terms are defined in the most recent edition of the diagnostic and statistical manual of mental disorders published by the American psychiatric associa... |
Section 3924.03 | Health benefit plans covering small employers subject to conditions.
...party payer, without the consent of the beneficiary. Each person claiming benefits under a health benefit plan shall provide any facts and information necessary to apply this section. For purposes of this section, "bona fide association" means an association that has been actively in existence for at least five years; has been formed and maintained in good faith for purposes other than obtaining insurance; does not ... |
Section 3959.11 | Written agreement to act as administrator between the administrator and the plan sponsor.
...(A) No person may act as an administrator without a written agreement between the administrator and the plan sponsor. Such written agreement shall be retained as part of the official records of the administrator for the duration of the agreement and for five years thereafter. Each such agreement shall contain, at a minimum, all of the following information: (1) The term of the agreement; (2) An explanation of the s... |
Section 3959.15 | Books and records.
...(A) Administrators shall maintain detailed books and records that reflect all administered transactions specifically in regard to premiums or contributions received and deposited and claims and authorized expenses paid. (B) The detailed preparation, journalizing, and posting of such books and records shall be made in accordance with the terms and conditions of the service agreement between the administrator and the ... |
Section 3963.01 | Health care contracts definitions.
...apter 3923. of the Revised Code; (4) "Beneficiary" as defined by section 3901.38 of the Revised Code. (K) "Health care contract" means a contract entered into, materially amended, or renewed between a contracting entity and a participating provider for the delivery of basic health care services, specialty health care services, or supplemental health care services to enrollees. (L) "Health care services" means b... |
Section 3965.01 | Definitions.
...es an applicant, policyholder, insured, beneficiary, claimant, and certificate holder. (E) "Cybersecurity event" means an event resulting in unauthorized access to, disruption of, or misuse of an information system or nonpublic information stored on an information system that has a reasonable likelihood of materially harming any consumer residing in this state or any material part of the normal operations of the li... |