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Section 3902.13 | Order of benefits for health coverage plan.

...(A) A plan of health coverage determines its order of benefits using the first of the following that applies: (1) A plan that does not coordinate with other plans is always the primary plan. (2) The benefits of the plan that covers a person as an employee, member, insured, or subscriber, other than a dependent, is the primary plan. The plan that covers the person as a dependent is the secondary plan. (3) When more...

Section 3903.41 | Methods of determining value of security held by secured creditor.

...(A) The value of any security held by a secured creditor shall be determined in one of the following ways, as the court may direct: (1) By converting the same into money according to the terms of the agreement pursuant to which the security was delivered to such creditor; (2) By agreement, arbitration, compromise, or litigation between the creditor and the liquidator. (B) The determination shall be under the super...

Section 3904.01 | Insurance information practices definitions.

...As used in sections 3904.01 to 3904.22 of the Revised Code: (A)(1) "Adverse underwriting decision" means any of the following actions with respect to insurance transactions involving life, health, or disability insurance coverage that is individually underwritten: (a) A declination of insurance coverage; (b) A termination of insurance coverage; (c) Failure of an agent to apply for insurance coverage with a sp...

Section 3905.064 | Travel insurance definitions.

... of baggage or personal effects; (c) Damages to accommodations or rental vehicles; (d) Sickness, accident, disability, or death occurring during travel; (e) Emergency evacuation; (f) Repatriation of remains; (g) Any other contractual obligations to indemnify or pay a specified amount to the traveler upon determinable contingencies related to travel as approved by the superintendent of insurance. (2)...

Section 3905.331 | Exempt commercial purchasers; qualifications; qualified risk managers.

...(A) A person purchasing commercial insurance qualifies as an exempt commercial purchaser if, at the time of placement, the exempt commercial purchaser satisfies all of the following requirements: (1) The person employs or retains a qualified risk manager to negotiate insurance coverage. (2) The person has paid aggregate nationwide commercial property and casualty insurance premiums in excess of one hundred t...

Section 3911.012 | Reserves for line of sickness and accident insurance.

...(A) Each life insurance company authorized to transact business in this state shall maintain reserves, with respect to any line of sickness and accident insurance that it writes, in at least all of the following amounts: (1) An amount that equals the unearned portions of the gross premiums charged on unexpired or unterminated risks and policies; (2) An amount that is estimated to be sufficient to provide for the ul...

Section 3911.10 | Exemption of proceeds from claims of creditors.

...All contracts of life or endowment insurance or annuities upon the life of any person, or any interest therein, which may hereafter mature and which have been taken out for the benefit of, or made payable by change of beneficiary, transfer, or assignment to, the spouse or children, or any persons dependent upon such person, or an institution or entity described in division (B)(1) of section 3911.09 of the Revised Cod...

Section 3922.19 | Disclosure of external review procedures.

...(A) Each health plan issuer shall include a description of its external review procedures, including the superintendent's contractual review, in, or attached to, the policy, certificate, membership booklet, or outline of coverage, or other evidence of coverage it provides to covered persons. This disclosure shall be in a form prescribed by the superintendent in any associated rules, policies, or procedures. ...

Section 3923.18 | Rights of insurer in defense of claim not waived.

...The acknowledgment by an insurer of the receipt of notice given under any policy of sickness and accident insurance, or the furnishing by him of forms for filing proofs of loss, or his acceptance of such proofs, or his investigation of any claim thereunder, shall not operate as a waiver of any of the rights of the insurer in defense of any claim arising under such policy.

Section 3929.012 | Reserve requirements.

...(A) Each insurance company authorized to transact business in this state, except any life insurance company, shall maintain reserves in at least all of the following amounts: (1) An amount that equals the unearned portions of the gross premiums charged on unexpired or unterminated risks and policies; (2) An amount that is estimated to be sufficient to provide for the ultimate payment of all losses or claims, whethe...

Section 3929.30 | Annual report.

...The president or the vice-president and the secretary of each insurance company organized under the laws of this or any other state and doing business in this state, annually, on the first day of January or within sixty days thereafter, shall prepare, under oath, and deposit in the office of the superintendent of insurance a statement of the condition of such company on the next preceding thirty-first day of De...

Section 3929.33 | Schedule of experience as to liabilities with annual statement.

... losses under insurance against loss or damage resulting from accident to, or injuries suffered by, an employee or other person, for which the insured is liable, and under insurance against loss from liability on account of the death of or injury to an employee, not caused by the negligence of the employer, shall be determined as set forth in this section. Each corporation which writes policies covering such insuran...

Section 3929.482 | Contracts to provide administrative and claims adjusting services.

...(A) The Ohio fair plan underwriting association by action of its board of governors, with the approval of the superintendent of insurance, is authorized to enter into a contract with the Ohio mine subsidence insurance underwriting association to provide administrative and claims adjusting services required by it. Such contract shall provide indemnification by the Ohio mine subsidence insurance underwriting associatio...

Section 3929.52 | Mine subsidence insurance fund.

...experience or trends, to cover normal costs of operation of the fund, and to provide a reasonable reserve for unexpected contingencies. No deviation shall be allowed from the premium established by the plan, but the mine subsidence insurance governing board shall periodically review the premium level and the experience data applicable to operation of the fund and, with the approval of the superintendent of insurance,...

Section 3929.66 | Application for medical liability insurance.

...(A) Any applicant practicing or operating in this state seeking to purchase medical liability insurance being offered by the medical liability underwriting association, on or after the effective date of the medical liability underwriting association's plan of operation, may apply to the medical liability underwriting association for medical liability insurance. The application may be made on behalf of an applicant by...

Section 3930.04 | Applying for commercial insurance policy.

...(A) An applicant shall be considered for the issuance of a policy of commercial insurance offered by the association if the applicant presents to the association evidence that the Ohio commercial market assistance plan was unable to assist the applicant in obtaining coverage. Such application shall be submitted on behalf of the applicant by a licensed Ohio agent or broker authorized by the applicant. If the associati...

Section 3937.25 | Grounds for cancellation.

...egal liability of the insured for loss, damage, or expense arising from a medical, optometric, or chiropractic claim, as those claims are defined in section 2305.113 of the Revised Code. (B) After a policy of commercial property insurance, commercial fire insurance, or commercial casualty insurance other than fidelity or surety bonds, medical malpractice insurance, and automobile insurance as defined in section 3937...

Section 3937.46 | Applicability of intrafamily liability exclusion against owner or operator of motor vehicle in action for wrongful death.

...tor vehicle in a claim or in a suit for damages made against the owner or operator under Chapter 2125. of the Revised Code. (B) The prohibition included in division (A) of this section does not apply if both of the following conditions are met: (1) The policy providing the liability coverage in question includes uninsured-underinsured motorist coverage pursuant to section 3937.18 of the Revised Code; (2) Suc...

Section 3953.12 | Other reserves.

...(A) Each title insurance company shall at all times establish and maintain, in addition to other reserves, a reserve: (1) Against unpaid losses; (2) Against loss expense, and shall calculate such reserves by making a careful estimate in each case of the loss expense likely to be incurred, by reason of every claim presented, pursuant to notice from or on behalf of the insured, of a title defect in or lien or adverse...

Section 3963.02 | Prohibited contract terms; termination; arbitration.

... award reasonable attorney's fees and costs for arbitration relating to the enforcement of this section to the prevailing party. (2) The arbitrator shall make the arbitrator's decision in an arbitration proceeding having due regard for any applicable rules, bulletins, rulings, or decisions issued by the department of insurance or any court concerning the enforcement of the contract rights conferred by section 3963....

Section 3964.18 | Liquidation.

...(A) If a protected cell captive insurance company with one or more protected cells is being liquidated, the protected cell captive insurance company may be considered to have no assets and no liabilities only if the protected cell captive insurance company continues to have no protected cells. (B) In the course of liquidating a protected cell captive insurance company, each protected cell shall be dealt with ...

Section 3999.22 | Health insurance referrals - prohibited activities - exceptions.

...(A) As used in this section: (1) "Claim" means any attempt to cause a health care insurer to make payment of a health care benefit. (2) "Health care benefit" means the right under a contract or a certificate or policy of insurance to have a payment made by a health care insurer for a specified health care service. (3) "Health care insurer" means any person that is authorized to do the business of sickness and acci...

Section 4112.054 | Affirmative defense to sexual harassment claim.

...(A) As used in this section: (1) "Tangible employment action" means an action resulting in a significant change in employment status, such as hiring, firing, failing to promote, reassignment with significantly different responsibilities, or a decision causing a significant change in benefits. (2) "Hostile work environment sexual harassment claim" means a charge filed pursuant to section 4112.051 of the Revised Co...

Section 4112.08 | Liberal construction.

...(A) This chapter shall be construed liberally for the accomplishment of its purposes, and any law inconsistent with any provision of this chapter shall not apply. Nothing contained in this chapter shall be considered to repeal any of the provisions of any law of this state relating to discrimination because of race, color, religion, sex, military status, familial status, disability, national origin, age, or ancestry....

Section 4113.15 | Semimonthly payment of wages.

...he employer, in addition, as liquidated damages, is liable to the employee in an amount equal to six per cent of the amount of the claim still unpaid and not in contest or disputed or two hundred dollars, whichever is greater. (C) In the absence of a contest, court order or dispute, an employer who is party to an agreement to pay or provide fringe benefits to an employee or to make any employee authorized deduction ...

Section 4753.08 | Waiving examination, educational and professional experience requirements.

...The state speech and hearing professionals board shall waive the examination, educational, and professional experience requirements for any applicant who meets either of the following requirements: (A) On September 26, 1975, had at least a bachelor's degree with a major in speech-language pathology or audiology from an accredited college or university, or was employed as a speech-language pathologist or audiologist...

Section 4753.09 | License renewal.

...Except as provided in this section and in section 4753.10 of the Revised Code, a license issued by the state speech and hearing professionals board shall be renewed biennially in accordance with the standard renewal procedure contained in Chapter 4745. of the Revised Code. If the application for renewal is made one year or longer after the renewal application is due, the person shall apply for licensure as provided i...

Section 4753.091 | Classification of license as inactive.

...(A) A person licensed under this chapter may apply to the state speech and hearing professionals board to have the person's license classified as inactive. If a fee is charged under division (B) of this section, the person shall include the fee with the application. If the person's license is in good standing, the person is not the subject of any complaint, the person is not the subject of an investigation or discip...

Section 4753.10 | Disciplinary actions.

...(A) In accordance with Chapter 119. of the Revised Code, the state speech and hearing professionals board may reprimand or place on probation a speech-language pathologist or audiologist or suspend, revoke, or, except as provided in division (B) of this section, refuse to issue or renew the license of a speech-language pathologist or audiologist. Disciplinary actions may be taken by the board for conduct that may res...

Section 4753.101 | Student permit disciplinary action rules.

...The state speech and hearing professionals board, in accordance with Chapter 119. of the Revised Code, may establish rules to govern any disciplinary action to be taken against a student issued a permit under section 4753.073 of the Revised Code. The rules established by the board are not subject to the adjudication procedure requirements of sections 119.06 to 119.13 of the Revised Code.

Section 4753.11 | Fees.

...ined by board rule and used to defray costs of the board. (C) The board may, by rule, provide for the waiver of all or part of such fees when the license is issued less than one hundred days before the date on which it will expire. (D) After the last day of the month designated by the board for renewal, the board shall charge a late fee to be determined by board rule in addition to the biennial licensure renewal fe...

Section 4753.12 | Lawful practice.

...Nothing in this chapter shall be construed to: (A) Prohibit a person other than an individual from engaging in the business of speech-language pathology or audiology without licensure if it employs a licensed individual in the direct practice of speech-language pathology and audiology. Such entity shall file a statement with the state speech and hearing professionals board, on a form approved by the board for this...

Section 4753.14 | Referrals.

...An audiologist shall administer tests of vestibular function only to patients who have been referred to him by a person authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery. If an audiologist administers an audiometric test for tinnitus and his examination or evaluation of the patient reflects the presence of otological or systemic disease, the audio...

Section 4753.15 | Effect of child support default on license.

...On receipt of a notice pursuant to section 3123.43 of the Revised Code, the state speech and hearing professionals board shall comply with sections 3123.41 to 3123.50 of the Revised Code and any applicable rules adopted under section 3123.63 of the Revised Code with respect to a license issued pursuant to this chapter.

Section 4753.16 | Compliance with law regarding sanctions for human trafficking.

...The state speech and hearing professionals board shall comply with section 4776.20 of the Revised Code.

Section 4753.17 | Audiology and speech-language pathology interstate compact.

...ir official capacity, for any claim for damage to or loss of property or personal injury or other civil liability caused by or arising out of any actual or alleged act, error or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities; provided that nothing in this paragraph shall be co...

Section 4753.171 | Delegates to compact commission.

...Not later than thirty days after the "Audiology and Speech-Language Pathology Interstate Compact" is entered into under section 4753.17 of the Revised Code, the state speech and hearing professionals board, in accordance with section eight of the compact, shall select two individuals to serve as delegates to the audiology and speech-language pathology compact commission created under the compact. The board shall fill...

Section 4753.20 | Telehealth services.

...An audiologist or speech-language pathologist may provide telehealth services in accordance with section 4743.09 of the Revised Code.

Section 4753.99 | Penalty.

...Whoever violates section 4753.02 of the Revised Code is guilty of a minor misdemeanor.

Section 4755.01 | Ohio occupational therapy, physical therapy, and athletic trainers board.

...s of the board shall be physical therapists who are licensed to practice physical therapy and who have been engaged in or actively associated with the practice of physical therapy in this state for at least five years immediately preceding appointment. One member shall be a licensed physical therapist assistant who has been engaged in or actively associated with the practice of assisting in the provision of physical ...

Section 4755.02 | Powers and duties of board.

...(A) The appropriate section of the Ohio occupational therapy, physical therapy, and athletic trainers board shall investigate compliance with this chapter or any rule or order issued under this chapter and shall investigate alleged grounds for the suspension, revocation, or refusal to issue or renew licenses under section 3123.47, 4755.11, 4755.47, or 4755.64 of the Revised Code. The appropriate section may subpoena ...

Section 4755.03 | Fees credited to occupational licensing and regulatory fund.

...Except as provided in section 4755.99 of the Revised Code, all fees and fines collected and assessed under this chapter by the appropriate section of the Ohio occupational therapy, physical therapy, and athletic trainers board, shall be deposited into the state treasury to the credit of the occupational licensing and regulatory fund.

Section 4755.031 | Fee for costs of sanction proceedings.

...A person sanctioned under section 4755.11, 4755.47, 4755.482, or 4755.64 of the Revised Code shall pay a fee in the amount of the actual cost of the administrative hearing, including the cost of the court reporter, the hearing officer, transcripts, and any witness fees for lodging and travel, as determined by the appropriate section of the board. The fee shall be collected by the appropriate section.

Section 4755.04 | Occupational therapist definitions.

...c devices and other equipment which assists the individual to adapt to the individual's potential or actual impairment; (6) Administration of topical drugs that have been prescribed by a licensed health professional authorized to prescribe drugs, as defined in section 4729.01 of the Revised Code. (B) "Occupational therapist" means a person who is licensed to practice occupational therapy and who offers such servi...

Section 4755.05 | Requirement of license or permit.

...No person who does not hold a current license under sections 4755.04 to 4755.13 of the Revised Code shall practice or offer to practice occupational therapy, or use in connection with the person's name, or otherwise assume, use, or advertise, any title, initials, or description tending to convey the impression that the person is an occupational therapist or an occupational therapy assistant. No partnership, associati...

Section 4755.06 | Administrative rules.

...The occupational therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board may make reasonable rules in accordance with Chapter 119. of the Revised Code relating to, but not limited to, the following: (A) The form and manner for filing applications for licensure under sections 4755.04 to 4755.13 of the Revised Code; (B) The issuance, suspension, and revocation of the licens...

Section 4755.061 | Limitation on fee amounts.

...hose services that exceed the actual costs the section incurs in providing the services to a licensee.

Section 4755.062 | Contracting for assistance with continuing education duties.

...The occupational therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board may contract with the Ohio occupational therapy association, or its successor organization, for assistance in performing any duties prescribed in rules adopted under division (H) of section 4755.06 of the Revised Code.

Section 4755.07 | License qualifications.

...ts for licensure as occupational therapists. Applicants for licensure shall be examined at a time and place and under such supervision as the section determines.

Section 4755.08 | License - limited permit.

...The occupational therapy section of the Ohio occupational therapy, physical therapy, and athletic trainers board shall issue a license to every applicant who has passed the appropriate examination designated by the section and who otherwise complies with the licensure requirements of sections 4755.04 to 4755.13 of the Revised Code. The license entitles the holder to practice occupational therapy or to assist in the p...