Ohio Revised Code Search
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Section 3907.14 | Investment of capital, surplus, and accumulations.
...y way of security for loans previously contracted or for money due; (3) Which has been conveyed to it in satisfaction of debts previously contracted in the course of its dealings, or which it may receive in or on account of an exchange for real estate acquired in its operations; (4) Which it has purchased at sales under mortgages and on any legal process in connection with its investments or under decrees obt... |
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Section 3911.18 | Discriminations by agent of life insurance company prohibited.
...ther of the terms and conditions of the contracts which such company makes. No such person shall pay, allow, or give, or offer to pay, allow, or give, directly or indirectly, as inducement to insurance, or knowingly receive as such inducement to insurance, any rebate of premium payable on the policy, or any special favor or advantage in the dividends or other benefits to accrue thereon, or any special advantage in th... |
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Section 3913.20 | Conversion to stock insurance corporation other than life definitions.
...the Revised Code: (A) "Policy" means a contract of insurance, other that life insurance issued on the mutual plan, and includes the master contract for group insurance, and also includes any policy or policies from or in continuation of which a policy in effect on the date of the examination conducted pursuant to division (C) of section 3913.21 of the Revised Code has been reissued or renewed. (B) "Policyholder" me... |
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Section 3915.071 | Paid-up nonforfeiture benefit or alternative nonforfeiture benefit.
... or special hazards and uniform annual contract charges or policy fees specified in the policy statement of the method to be used in calculating cash surrender values and paid-up nonforfeiture benefits are excluded in calculating adjusted premiums and recalculated future adjusted premiums. A policy issued on a substandard basis but similar to one issued on a standard basis may be considered the same as the st... |
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Section 3915.21 | Accelerated benefits definitions.
...any policy, rider, indorsement, annuity contract, or endowment contract delivered or issued for delivery in this state by a life insurance company. (C) "Qualifying event" means the occurrence of any of the following: (1) A medical condition that drastically reduces the potential life span of the insured to a period of time that is within the period of time specified in the policy; (2) A medical condition that requ... |
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Section 3916.02 | Viatical settlement provider or broker license.
...erent states, the viatical settlement contract shall be governed by the law of the state in which the owner having the largest percentage ownership of the policy resides or, if the owners hold equal ownership, the state of residence of one owner agreed upon in writing by all owners. (2) If the viator is a resident of this state, all agreements to be signed by the viator shall provide exclusive jur... |
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Section 3916.11 | Records - examinations.
... (a) All proposed, offered, or executed contracts, purchase agreements, underwriting documents, policy forms, and applications from the date of the proposal, offer, or execution of the contract or purchase agreement, whichever is later; (b) All checks, drafts, or other evidence and documentation related to the payment, transfer, deposit, or release of funds from the date of the transaction; (c) All other records an... |
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Section 3916.12 | Annual statement - financial statements.
...value of unsettled viatical settlement contracts that have been signed by the viator but have not been settled as of the date of the report categorized by the number of days since the viator signed the contract; (2) Number of policies purchased, total amount of settlement paid for policies purchased, total face value of policies purchased beginning with the reporting year and most recent five years; (3) Nu... |
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Section 3916.15 | Prohibitions.
...der that has used a viatical settlement contract form that has not been approved under this chapter. (6) The licensee is a viatical settlement provider that has failed to honor contractual obligations set out in a viatical settlement contract. (7) The licensee no longer meets the requirements for initial licensure. (8) The licensee is a viatical settlement provider that has assigned, transferred, or pledged a v... |
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Section 3919.05 | Mortality experience or table.
...ortality experienced on all outstanding contracts shall be determined and distributed between all such contracts in proportion to the cost of insurance on the basis provided in section 3919.02 of the Revised Code, or such other mortality table approximating the experience of the association as it may provide. |
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Section 3919.06 | Provisions for disability benefits.
...Every association may include in contracts issued under sections 3919.02 to 3919.10, inclusive, of the Revised Code, provisions for total and permanent disability benefits, accidental death benefits, annuities, and the payment of the benefits in installments. Separate contracts may also be issued paying for total or partial disability from sickness or accident, dismemberment, and accidental death benefits; provided t... |
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Section 3919.08 | Report on outstanding contracts.
... of March, the valuation of outstanding contracts issued on and after January 1, 1926, or designated as provided in sections 3919.02 to 3919.10, inclusive, of the Revised Code, and in force on the thirty-first day of December of the preceding year. The report shall contain a statement of the rate of earnings of the mean invested assets, the interest earnings at such rate on the segregated portion of the assets, the i... |
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Section 3919.13 | Amendment of articles to change plan of insurance.
...l not affect existing suits, rights, or contracts. Any such company or association may amend its articles of incorporation and its constitution and bylaws, as provided in this section, so as to enable it to transact the business of legal reserve or level premium life insurance on the mutual plan, without capital stock, and in such case the sections in Chapters 3907., 3909., 3911., and 3913. of the Revised Code relat... |
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Section 3922.11 | Review by superintendent of insurance.
...y the health plan issuer was based on a contractual issue and did not involve a medical judgment or a determination based on any medical information, except for emergency services, as specified in division (C) of section 3922.05 of the Revised Code. (B) A health plan issuer shall submit a request for external review pursuant to division (B) or (C) of section 3922.05 of the Revised Code to the superintendent, in acc... |
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Section 3922.14 | Additional actions for accreditation.
...ependent review organization employs or contracts with an adequate number of clinical reviewers to meet this requirement; (d) Ensures the confidentiality of medical and treatment records and clinical review criteria; (e) Ensures that any person employed by, or who is under contract with, the independent review organization adheres to the requirements of this chapter. (2) Maintain a toll-free telephone service t... |
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Section 3923.04 | Policy standard provisions.
...e. (A) A provision as follows: Entire contract; changes. This policy, including the indorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be indorsed hereon or attached hereto. No agent has authority to change this policy or to waive any of its provisions. No... |
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Section 3923.12 | Group sickness and accident insurance.
...sured employer through stock ownership, contract, or otherwise. (2) "Employer" includes any municipal or governmental corporation, unit, agency, or department thereof, as well as private individuals, partnerships, and corporations. (C) Each such policy shall contain in substance the following provisions: (1) A provision that the policy, the application of the policyholder, if the application or copy thereof is att... |
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Section 3923.32 | Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.
...erminates as specified in the policy or contract from which continuation or conversion is being exercised. (E) Coverage shall be provided through continuation or conversion without additional evidence of insurability, and shall not impose any preexisting condition limitations or other contractual time limitations other than those remaining unexpired under the policy or contract from which continuation or conversion ... |
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Section 3923.334 | Outline of coverage delivered at time application is made.
...uld be consulted to determine governing contractual provisions. (C) The superintendent may prescribe by rule a standard form and the contents of an informational brochure for persons eligible for medicare, which is intended to improve the buyer's ability to select the most appropriate coverage and improve the buyer's understanding of medicare. Except in the case of direct response insurance policies, the superintend... |
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Section 3923.80 | Denial of coverage to cancer clinical trial participant.
...are that does not have a health care contract with the entity issuing the health benefit plan or public employee benefit plan, or as prohibiting the entity issuing a health benefit plan or public employee benefit plan that does not have a health care contract with the provider or facility providing the routine care from negotiating a single case or other agreement for coverage. (C) As used in thi... |
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Section 3924.02 | Health care benefit plans covered by chapter.
...law that would inhibit any carrier from contracting with providers or groups of providers with respect to health care services or benefits; (2) Any law that would impose any restriction on the ability to negotiate with providers regarding the level or method of reimbursing care or services provided under the health benefit plan; (3) Any law that would require any carrier to either include a specific provider or c... |
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Section 3924.031 | Carrier offering health benefit plan in small employer market through network plan.
...hrough a defined set of providers under contract with the carrier. (B) If a carrier offers a health benefit plan in the small employer market through a network plan, the carrier may do both of the following: (1) Limit the small employers that may apply for such coverage to those with eligible employees who live, work, or reside in the service area of the network plan; (2) Within the service area of the network pla... |
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Section 3924.73 | Rights, privileges, or protections of employees or small employers.
...oviding sickness and accident insurance contracts in this state, a health insuring corporation organized under Chapter 1751. of the Revised Code, or any legal entity that is self-insured and provides health care benefits to its employees or members. (2) "Small employer" has the same meaning as in section 3924.01 of the Revised Code. (B)(1) Subject to division (B)(2) of this section, nothing in sections 3924.61 to... |
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Section 3925.20 | Authorized real estate holdings.
...by way of security for loans previously contracted, or for money due; (C) Real estate conveyed to it in satisfaction of debts previously contracted in its legitimate business, or for money due; (D) Real estate purchased at sales upon judgment or mortgages obtained or made for such debts; (E) Real estate, or any interest in real estate, acquired or held by purchase, lease, or otherwise, as an investment for product... |
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Section 3929.03 | Employee subrogated to rights of employer.
...ll the rights of the employer under any contract or policy of insurance against loss or damage resulting to said employer from the injury or death of an employee while in the service of such employer, whether the person, partnership, or corporation contracting with said employer or issuing such policy of insurance has been made a party to the action for damages sustained or not. |