Ohio Revised Code Search

...(A) As used in this section: (1) "Benefit" means a benefit, pension, or allowance payable under former section 3307.38, 3307.41, 3307.43, 3307.431, 3307.49, or 3307.50 of the Revised Code. (2) "Cumulative percentage change in the CPI" means the total percentage change in the consumer price index prepared by the United States bureau of labor statistics for urban wage earners and clerical workers (CPI-W: U.S. city av...

...(A) The school employees retirement system shall provide disability coverage to each member who has at least five years of total service credit. Not later than October 16, 1992, the school employees retirement board shall give each person who is a member on July 29, 1992, the opportunity to elect disability coverage either under section 3309.40 of the Revised Code or under section 3309.401 of the Revised Code...

...f that section; (2) Hospital insurance benefits under 42 U.S.C. 426(b), if both of the following are the case: (a) The recipient had medicare qualified government employment, as defined in 42 U.S.C. 410(p). (b) The recipient would have met the requirements of divisions (a)(1)(A), (B), and (C) of 42 U.S.C. 423 if the medicare qualified government employment was treated as employment under 42 U.S.C. 410(a). (C) Unl...

...(A) Notwithstanding any contrary provisions in Chapter 124. or 3319. of the Revised Code: (1) A disability benefit recipient whose benefit effective date was before January 7, 2013, shall retain membership status and shall be considered on leave of absence from employment during the first five years following the effective date of a disability benefit. (2) A disability benefit recipient whose benefit effective ...

...account and to substitute certain other benefits either under division (A) or (B) of this section. (A)(1) If a deceased member was eligible for a service retirement allowance as provided in section 3309.36 or 3309.381 of the Revised Code, a surviving spouse or other sole dependent beneficiary may elect to receive a monthly benefit computed as the joint-survivor allowance designated as "plan D" in section 3309.46 of...

...luding disability and accidental death benefits, issued on the standard basis on or after January 1, 1989, the minimum standard for the valuation of policies and contracts shall be derived from the following: (1) The commissioners 1980 standard ordinary mortality table; (2) At the election of the company for any one or more specified plans of life insurance, the commissioners 1980 standard ordinary mortality ...

...er values and the paid-up nonforfeiture benefits available under the policy, together with a table showing the cash surrender value and paid-up nonforfeiture benefit available under the policy on each policy anniversary, either during the first twenty policy years or during the term of the policy, whichever is shorter, such values and benefits to be calculated upon the assumption that there are no dividends or paid-u...

...n in lieu of any paid-up nonforfeiture benefits. (4) That if another available nonforfeiture benefit is not elected within sixty days after the due date of an unpaid premium, the paid-up nonforfeiture benefit specified in the policy shall become effective. (5) That if all premiums for the policy have been paid, the company will pay the cash surrender value, upon surrender of the policy within thirty days afte...

...id-up annuity, cash surrender, or death benefits that are guaranteed under the contract, together with sufficient information to determine the amounts of such benefits; (4) A statement that any paid-up annuity, cash surrender, or death benefits that may be available under the contract are not less than the minimum benefits required by any statute of the state in which the contract is delivered and an explanation of...

...t society that provides the contractual benefits listed in division (A)(1) of section 3921.16 of the Revised Code in this state in a benefit amount of greater than ten thousand dollars shall have and maintain a surplus of two million five hundred thousand dollars for all lines written. (2) On and after January 1, 2016, a fraternal benefit society that provides the contractual benefits listed in division (A)(1...

...y, network, or any other limitation on benefits that would otherwise be covered. (2) Not to issue individual health insurance coverage to an applicant, including coverage offered to individuals through a nonemployer group; (3) To rescind coverage on a health benefit plan. (B) "Ambulatory review" has the same meaning as in section 1751.77 of the Revised Code. (C) "Authorized representative" means an individual...

...rage, 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 insurer has not been given written notice prior to the occurrence or commencement of loss, the only liability under any expense incurred coverage of this policy shall be for such proportion of the loss as the amount which would otherwise have been payable hereunder ...

... except with respect to an increase in benefits voluntarily selected by the insured individual or group policyholder; (3) Provide coverage for skilled nursing care only or provide significantly more coverage for skilled care in a facility than coverage for lower levels of care; (4) Use a definition of "preexisting condition" that is more restrictive than the following: "Preexisting condition" means a conditio...

...f 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 condition membership in the associ...

...ity to provide life, health, or annuity benefits to its employees or members to the extent that the plan or program is self-funded or uninsured, including but not limited to benefits payable by an employer, association, or similar entity under any of the following: (i) A multiple employer welfare arrangement as defined in section 3(40) of the "Employee Retirement Income Security Act of 1974," 88 Stat. 833, 29 U.S.C...

...to discharge such duties; (2) Provide benefits and coverages in accordance with division (C) of this section. (C) When proceeding under division (B)(2) of this section, the association, with respect to policies and contracts, shall do all of the following: (1) Assure payment of benefits that would have been payable under the policies or contracts of the insolvent insurer, for claims incurred within the fol...

...des life, dental, health, or disability benefits exclusively for the person's own members or employees; (5) Any health insuring corporation holding a certificate of authority under Chapter 1751. of the Revised Code or an insurance company that is authorized to write life or sickness and accident insurance in this state. (C) "Aggregate excess insurance" means that type of coverage whereby the insurer agrees to r...

...(A)(1)(a) In each contract between a pharmacy benefit manager and a pharmacy, the pharmacy shall be given the right to obtain from the pharmacy benefit manager, within ten days after any request, a current list of the sources used to determine maximum allowable cost pricing. In each contract between a pharmacy benefit manager and a pharmacy, the pharmacy benefit manager shall be obligated to update and implement the ...

...d by this chapter. The compensation and benefits shall be provided, as applicable, directly from the employee's self-insuring employer as provided in section 4123.35 of the Revised Code or from the state insurance fund. An employee or dependent is not entitled to receive compensation or benefits under this division if the employee's injury or occupational disease is either of the following: (1) Purposely self-infli...

...e, the individual has filed a claim for benefits, based on such service, under this chapter. (i) For the purposes of division (B)(2)(h) of this section, the term "American employer" means an employer who is an individual who is a resident of the United States; or a partnership, if two-thirds or more of the partners are residents of the United States; or a trust, if all of the trustees are residents of the United S...

...ements of the federal share of extended benefits described in section 4141.301 of the Revised Code, collected under sections 4141.01 to 4141.56 of the Revised Code, and the amount required under division (A)(4) of section 4141.35 of the Revised Code, together with all interest earned upon any moneys deposited with the secretary of the treasury of the United States to the credit of the account of this state in the une...

...nd shall be pooled and available to pay benefits to any individual entitled to benefits irrespective of the source of such contributions. (D)(1) For the purposes of this section and sections 4141.241 and 4141.242 of the Revised Code, an employer's account shall be charged only for benefits based on remuneration paid by such employer. Benefits paid to an eligible individual shall be charged against the account of ea...

... employer's account was chargeable with benefits. Upon meeting the qualifying requirements provided in division (A)(2) of this section, the director shall calculate the total credits to each employer's account consisting of the contributions other than mutualized contributions including all contributions paid prior to the computation date for all past periods plus: (a) The contributions owing on the computation dat...

...BENEFITS (A) FILINGS Applications for determination of benefit rights and claims for benefits shall be filed with the director of job and family services. Such applications and claims also may be filed with an employee of another state or federal agency charged with the duty of accepting applications and claims for unemployment benefits or with an employee of the unemployment insurance commission of Canada. ...

...Each eligible individual shall receive benefits as compensation for loss of remuneration due to involuntary total or partial unemployment in the amounts and subject to the conditions stipulated in this chapter. (A) No individual is entitled to a waiting period or benefits for any week unless the individual: (1) Has filed a valid application for determination of benefit rights in accordance with section 4141.28 of...