Ohio Revised Code Search

...ng covered person consent requirements, processes, policies, procedures, or renewals that are likely to substantially increase the complexity or burden of accessing, exchanging, or using such data. (3) Penalize a health care provider for disclosing such data to a covered person or for prescribing, administering, or ordering a clinically appropriate or lower-cost alternative. (H)(1) A health plan issuer, including...

...rsight of the actuarial function, and a process for appropriate waiver or modification of such procedures. (4) For policies not subject to a principle-based valuation under section 3903.729 of the Revised Code, the minimum valuation standard, which shall be or do either of the following: (a) Be consistent with the minimum standard of valuation prior to the operative date of the valuation manual; (b) Develop res...

... with the same insurer, or processing a change to an existing policy, a cancellation, a claim, or a renewal, in connection with any of the following personal lines policies: (1) Private passenger automobile; (2) Homeowners, including coverage for tenants or condominium owners, owner-occupied fire or dwelling property coverage, personal umbrella liability, or any other personal lines-related coverage whether sold...

...sales under mortgages and on any legal process in connection with its investments or under decrees obtained or made for such debts; (5) Which is acquired, owned, or held for the purpose of developing, improving, or otherwise utilizing such real estate for the production of income, without restriction or limitation as to time, and may acquire, lease, hold, and manage personal property used in connection therewi...

...lement provider transfers ownership or changes the beneficiary of the policy, the viatical settlement provider shall communicate in writing the change in ownership or beneficiary to the insured within twenty days after the change.

...ecify reasons that the change cannot be processed. No insurer shall unreasonably delay effecting change in ownership or beneficiary or seek to interfere with any viatical settlement contract lawfully entered into in this state. (G) A viatical settlement provider or viatical settlement broker that is party to a plan, transaction, or series of transactions to originate, renew, continue, or finance a policy with the i...

...fy the superintendent promptly of every change in any of the items described in divisions (A), (B), and (C) of this section. Subject to rules and regulations which have been approved by the superintendent as reasonable, each rating bureau shall permit any insurer, not a member, to be a subscriber to its rating services for any kind of insurance, or subdivision or class of risk or a part or combination thereof, for ...

...s or restrictions on the refund of any processing fees or periodic charges associated with the discount medical plan. A discount medical plan organization also shall provide each new member a written document containing the terms and conditions of the discount medical plan and including all of the following: (1) Name of the member; (2) Benefits provided under the discount medical plan; (3) Any processing fees...

...ing provider's payment or compensation, changes the administrative procedures in a way that may reasonably be expected to significantly increase the provider's administrative expenses, or adds a new product. A material amendment does not include any of the following: (1) A decrease in payment or compensation resulting solely from a change in a published fee schedule upon which the payment or compensation is based a...

...y subpoena, notice of hearing, or other process or notice of the state employment relations board issued under this section may be served personally, by certified mail, or by leaving a copy at the principal office or personal residence of the respondent required to be served. A return, made and verified by the individual making the service and setting forth the manner of service, is proof of service, and a retu...

...dress of its local agent for service of process; (3) A general description of the public employees the organization represents or seeks to represent; (4) The amounts of the initiation fee and monthly dues members must pay; (5) A pledge, in a form prescribed by the board, that the organization will comply with the laws of the state and that it will accept members without regard to age, race, color, sex, creed, reli...

...um extent possible, use electronic data processing equipment for the issuance of orders immediately following a hearing, scheduling of hearings and medical examinations, tracking of claims, retrieval of information, and any other matter within the commission's jurisdiction, and shall provide and input information into the electronic data processing equipment as necessary to effect the success of the claims tracking s...

...Code; (iii) Ethics; (iv) Governance processes and procedures; (v) Actuarial soundness; (vi) Investments; (vii) Any other subject matter the board believes is reasonably related to the duties of a board member. (17) Hold all sessions, classes, and other events for the program developed pursuant to division (F)(16) of this section in this state. (G) The board may do both of the following: (1) Vote to cl...

...mpt and efficient administration in the processing of claims. All active and inactive lost-time claims files shall be held at the service office responsible for the claim. A claimant, at the claimant's request, shall be provided with information by telephone as to the location of the file pertaining to the claimant's claim. The administrator shall ensure that all service office employees report directly to the direct...

...on or assistance with respect to claims processing and coverage. (B) The administrator shall assign to each service office an adequate number of investigators and field auditors. Service directors shall make investigators available to district hearing officers as needed. In addition to other duties the administrator may assign to investigators, they shall, at the service directors' direction, investigate alleged i...

...s of the bureau in the case of required change in federal or state requirements. (G)(1) The administrator may decertify a managed care organization if the managed care organization does any of the following: (a) Fails to maintain any of the requirements set forth in division (F) of this section; (b) Fails to reasonably comply with or to perform in accordance with the terms of a contract entered into under division...

...gether with their recommendations as to changes or improvements in the operations of the workers' compensation system. The chief ombudsperson shall prepare a written report summarizing the activities of the ombudsperson system together with a digest of recommendations. The chief ombudsperson shall transmit the report to the nominating council. (3) Comply with Chapter 102. and sections 2921.42 and 2921.43 of the Rev...

...ator for the same type of medical claim processed by the bureau and shall not charge, assess, or otherwise attempt to collect from an employee any amount for covered services or supplies that is in excess of that rate. If an employer elects to enter the program and the employer fails to pay a bill for a medical-only claim included in the program, the employer shall be liable for that bill and the employee for whom th...

...roposed plan to inform employees of the change from a state fund insurer to a self-insuring employer, the procedures the employer will follow as a self-insuring employer, and the employees' rights to compensation and benefits; and (g) The employer has either an account in a financial institution in this state, or if the employer maintains an account with a financial institution outside this state, ensures that wor...

...oratory certification shall be used for processing the test results of a qualifying chemical test. (F) The written notice required by division (B) of this section shall be the same size or larger than the proof of workers' compensation coverage furnished by the bureau of workers' compensation and shall be posted by the employer in the same location as the proof of workers' compensation coverage or the certificate o...

...rted by substantial evidence of new and changed circumstances developing since the time of the hearing on the original or last determination. No award shall be made under this division based upon a percentage of disability which, when taken with all other percentages of permanent disability, exceeds one hundred per cent. If the percentage of the permanent disability of the employee equals or exceeds ninety per cent...

...dust or fumes, producing characteristic changes in the lungs and demonstrated by x-ray examination, by biopsy or by autopsy. This chapter does not entitle an employee or the employee's dependents to compensation, medical treatment, or payment of funeral expenses for disability or death from berylliosis unless the employee has been subjected to injurious exposure to beryllium dust or fumes in the employee's employme...

..., planting, drying, packing, packaging, processing, freezing, grading, storing, or delivering to storage or to market or to a carrier for transportation to market, in its unmanufactured state, any agricultural or horticultural commodity, but only if the operator produced more than one half of the commodity with respect to which such service is performed; (5) In the employ of a group of operators of farms, or a coo...

...sed Code; (5) A summary of updates or changes to the technology the director uses to administer this chapter that have occurred during the calendar year covered by the report. (B) The director shall submit the report required under division (A) of this section to the speaker of the house of representatives, president of the senate, the governor, and the members of the unemployment compensation modernization and i...

...the application, the applicant may make changes in the application to secure its approval by the legislative authority or board of township trustees. Any area approved by the legislative authority or board of township trustees constitutes a community entertainment district, and a local option election may be conducted in the district, as a type of community facility, under section 4301.356 of the Revised Code. (D) S...