Ohio Revised Code Search

...(A) As used in this section: (1) "Cost-sharing" means the cost to an individual insured under a health benefit plan according to any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket expense requirements imposed by the plan. (2) "Health benefit plan" and "health plan issuer" have the same meanings as in section 3922.01 of the Revised Code. (3) "Pharmacy audit" has the same meaning as in...

...(A)(1) Every application form for insurance from a risk retention group and every policy or certificate of insurance issued by a risk retention group shall contain in ten-point type on the front page and the declaration page, the following notice: "Notice This policy is issued by your risk retention group. Your risk retention group may not be subject to all of the insurance laws and regulations of your state. Sta...

...As used in sections 3961.01 to 3961.09 of the Revised Code: (A)(1) "Discount medical plan" means a business arrangement or contract in which a person, in exchange for fees, dues, charges, or other consideration, offers access to members to providers of medical services and the right to receive discounted medical services from those providers. (2) "Discount medical plan" does not include any of the following: (a) A...

...plan and with any enrollment forms: (1) A statement that the discount medical plan is not insurance; (2) A statement that the range of discounts for medical services offered under the discount medical plan will vary depending on the type of provider and medical services; (3) A statement that the discount medical plan is prohibited from making members' payments to providers for medical services received unde...

...ly the following lines of insurance: (1) Commercial multiple peril; (2) Ocean marine; (3) Inland marine; (4) Medical malpractice; (5) Workers' compensation, to the extent permitted by law, but only for the purpose of indemnification of a self-insuring employer pursuant to division (B)(1) of section 4123.82 of the Revised Code; (6) Commercial auto liability; (7) Commercial auto physical damage; (8) Fidelit...

...otal capital and surplus as follows: (1) Not less than two hundred fifty thousand dollars; (2) In the case of a protected cell captive insurance company, not less than five hundred thousand dollars. (B) The superintendent may prescribe additional capital and surplus based upon the type, volume, and nature of insurance business transacted. (C) Capital and surplus may be in the form of any of the following: (...

... safety of the person's capital. (B)(1) Investments shall be of sufficient value, liquidity, and diversity to assure the captive insurance company's ability to meet its outstanding obligations, based on reasonable estimations of new business production for current lines of business. A copy of the investment policy adopted by the board of directors shall be filed with the superintendent. (2) If the superinten...

...hall not do either of the following: (1) Satisfy a liability attributable to a particular protected cell of the protected cell captive insurance company from the general assets of the protected cell captive insurance company; (2) Satisfy a liability, whether attributable to a particular protected cell or not, from the cell assets of another protected cell. (D)(1) A protected cell captive insurance company ma...

...e approval of the superintendent. (B)(1) A protected cell of a protected cell captive insurance company may apply to the superintendent to be incorporated as an insurance company, including a captive insurance company subject to the requirements of this chapter, independent from the protected cell captive insurance company of which it is currently a part. (2) If a protected cell is licensed as an independent ...

...(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...

...9.37 and 3999.38 of the Revised Code: (1) "Insurer" means any person that is authorized to engage in the business of insurance in this state under Title XXXIX of the Revised Code, any health insuring corporation, or any other person engaging either directly or indirectly in this state in the business of insurance or entering into contracts substantially amounting to insurance under section 3905.42 of the Revised Cod...

...ng standards, established by section 3781.07 of the Revised Code, shall: (1) Formulate rules governing the design, construction, and installation of power, refrigerating, hydraulic, heating, and liquefied petroleum gas, oxygen, and other gaseous piping systems. Such rules shall prescribe uniform minimum standards necessary for the protection of the public health and safety and shall include rules establishing the sa...

...ursuant to division (A)(4) of section 4104.02 of the Revised Code, no person shall operate a low pressure steam boiler that has more than three hundred sixty square feet of heating surface, unless one of the following applies to that person: (1) The person is licensed as a steam engineer, high pressure boiler operator, or low pressure boiler operator in accordance with section 4104.19 of the Revised Code. (2...

...iance with applicable sections of the B31 standards contained in the code for pressure piping, published by the American society of mechanical engineers: (1) The design, fabrication, assembly, installation, testing, examination, and inspection of power and process piping systems; (2) Qualification of personnel and qualification of welding and brazing procedures; (3) The implementation of an inspection program...

...sion shall do all of the following: (1) Establish and maintain a principal office in the city of Columbus and any other offices within the state that it considers necessary; (2) Appoint an executive director who shall serve at the pleasure of the commission and be its principal administrative officer. The executive director shall be paid a salary fixed pursuant to Chapter 124. of the Revised Code. (3) Appoin...

...ion on African-Americans under section 4112.12 of the Revised Code, the commission shall do all of the following: (1) Oversee and supervise four separate and distinct subcommittees devoted to solving problems and advancing recommendations exclusively pertinent to African-Americans in the areas of unemployment, criminal justice, education, and health; (2) Conduct research to determine the nature and extent of the...

...(A) As used in this section: (1) "Employee" means an individual currently or formerly employed by an employer. (2) "Employer" means the state, any political subdivision of the state, any person employing one or more individuals in this state, and any person directly or indirectly acting in the interest of the state, political subdivision, or such person. (3) "Political subdivision" and "state" have the same meanin...

...(A) As used in this section: (1) "Employee" and "employer" have the same meanings as in section 4113.51 of the Revised Code except that "employer" does not include the state, any municipal corporation, county, township, school district, or other political subdivision, or any agency or instrumentality of any of those entities. (2) "Employee retirement plan" means an employee retirement plan described in section 401(...

...ose included in division (C) of section 1.59 of the Revised Code, includes employee organizations, public employees, and public employers. (B) "Public employer" means the state or any political subdivision of the state located entirely within the state, including, without limitation, any municipal corporation with a population of at least five thousand according to the most recent federal decennial census; county; t...

... perform all of the following duties: (1) Act as chief administrative officer for the commission; (2) Ensure that all commission personnel follow the rules of the commission; (3) Ensure that all orders, awards, and determinations are properly heard and signed, prior to attesting to the documents; (4) Coordinate, to the fullest extent possible, commission activities with the bureau of workers' compensation activit...

...ic to a term ending one year after June 11, 2007; one member who represents employers, one member who represents employee organizations, one member who is an investment and securities expert, and the member who is a certified public accountant to a term ending two years after June 11, 2007; and one member who represents employers, one member who represents employee organizations, one member who is an investment and s...

...he administrator as provided in section 121.03 of the Revised Code, and the administrator shall serve at the pleasure of the governor. The governor shall fix the administrator's salary on the basis of the administrator's experience and the administrator's responsibilities and duties under this chapter and Chapters 4123., 4125., 4127., 4131., 4133., and 4167. of the Revised Code. The governor shall not appoint to the ...

...mittee consisting of the following: (1) Three individuals who are members of affiliated employee organizations of the Ohio chapter of the American federation of labor-congress of industrial organizations, who are selected by the Ohio chapter of the American federation of labor-congress of industrial organizations and who, on account of their previous vocation, employment, or affiliations, can be classed as r...

...mittee shall do all of the following: (1) Recommend to the board an accounting firm to perform the annual audits required under division (B) of section 4123.47 of the Revised Code; (2) Recommend an auditing firm for the board to use when conducting audits under section 4121.125 of the Revised Code; (3) Review the results of each annual audit and management review and, if any problems exist, assess the appropriate ...

...The ombudsperson system staff shall: (1) Answer inquiries or investigate complaints made by employers or claimants under this chapter and Chapter 4123. of the Revised Code as they relate to the processing of a claim for workers' compensation benefits; (2) Provide claimants and employers with information regarding problems which arise out of the functions of the bureau, commission hearing officers, and the commiss...