Ohio Revised Code Search

...insured has undergone a life expectancy evaluation by any person or entity other than the insurer or its authorized representatives in connection with the application, underwriting, and issuance of the policy. (3) In the furtherance of a fraud or to prevent the detection of a fraud, doing any of the following: (a) Removing, concealing, altering, destroying, or sequestering from the superintendent of insurance the...

...g products with therapeutic equivalence evaluations; (b) An interchangeable biological product, as defined in section 3715.01 of the Revised Code. (9)(a) For policies issued on or after January 1, 2017, upon written request, an insurer or plan shall permit a retrospective review for a claim that is submitted for a service where prior authorization was required but not obtained if the service in question meets all o...

... mental or emotional disorders, or for evaluations, that are at least equal to five hundred fifty dollars in any calendar year or twelve-month period. (1) The services shall be legally performed by or under the clinical supervision of any of the following: (a) A physician authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery; (b) A psychologi...

... mental or emotional disorders, or for evaluations, that are at least equal to the following: (1) Payments not less than five hundred fifty dollars in a twelve-month period, for services legally performed by or under the clinical supervision of any of the following: (a) A physician authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery; (b) A ps...

...n are the following: (a) The "AMA drug evaluations," a publication of the American medical association; (b) The "AHFS (American hospital formulary service) drug information," a publication of the American society of health system pharmacists; (c) "Drug information for the health care provider," a publication of the United States pharmacopeia convention. (2) Medical literature may be accepted for purposes of divis...

...g products with therapeutic equivalence evaluations, commonly referred to as the orange book. (L) "Maximum allowable cost list" means a list of the drugs for which a pharmacy benefit manager imposes a maximum allowable cost. (M) "Multiple employer welfare arrangement" has the same meaning as in section 1739.01 of the Revised Code. (N) "Pharmacy benefit manager" means an entity that contracts with pharmacies ...

...g products with therapeutic equivalence evaluations, or has an "NR" or "NA" rating or similar rating by nationally recognized reference. (b) The drug is generally available for purchase by pharmacies in this state from a national or regional wholesaler and is not obsolete. (3) Each contract between a pharmacy benefit manager and a pharmacy shall include an electronic process to appeal, investigate, and resolve dis...

...(A) Captive insurance companies shall be examined, evaluated, and monitored pursuant to section 3901.07 of the Revised Code. (B) All examination reports, preliminary examination reports or results, working papers, recorded information, documents and copies thereof produced by, obtained by, or disclosed to the superintendent or any other person in the course of an examination made under this section are confi...

...anies in this state; (c) The ongoing evaluation and monitoring of the financial affairs of captive insurance companies; (d) The determination and review of the premium franchise fee liability of a captive insurance company; (e) The training and continuing education costs of examiners and analysts. (2) Travel and living expenses of all personnel, including those who are not employees of the department of i...

...incident response activities; (g) The evaluation and revision as necessary of the incident response plan following a cybersecurity event. (I)(1) By the fifteenth day of February of each year, unless otherwise permitted to file on the first day of June in division (I)(2) of this section, each insurer domiciled in this state shall submit to the superintendent of insurance a written statement certifying that the ins...

...) The committee may conduct a study and evaluation of its activities under sections 4115.31 to 4115.35 of the Revised Code for the purpose of assuring effective and efficient administration of its duties and responsibilities under those sections. The committee also may study, on its own or in conjunction with public or private entities, problems related to the employment of persons with severe disabilities and the de...

...person of the self-insuring employer's evaluation board, a member of the commission shall hold no other office of trust or profit, engage in any other occupation or business, or serve on any committee of any political party and shall devote full time to the member's duties as a member of the commission. (D) In making appointments to the commission, the governor shall select the members from the list of the nam...

... the following in that report: (a) An evaluation of the cost and quality objectives of the bureau; (b) A statement of the net assets available for the provision of compensation and benefits under this chapter and Chapters 4123., 4127., and 4131. of the Revised Code as of the last day of the fiscal year; (c) A statement of any changes that occurred in the net assets available, including employer premiums and net...

...termined by the self-insuring employers evaluation board pursuant to division (C) of section 4123.352 of the Revised Code or for an amount the board determines that is not more than ten times the amount of the difference between the assessment paid and the amount of the assessment that should have been paid. The liability to the state under this division may be enforced in a civil action in the name of the state and ...

... the necessary medical examinations and evaluations may not delay a decision on a claim. (G) The administrator shall adopt rules setting forth procedures for auditing the program of self-insuring employers. The bureau shall conduct the audit upon a random basis or whenever the bureau has grounds for believing that a self-insuring employer is not in full compliance with bureau rules or this chapter. The administra...

...otal return objectives, and performance evaluation guidelines; (B) Prohibit investing the assets of those funds, directly or indirectly, in vehicles that target any of the following: (1) Coins; (2) Artwork; (3) Horses; (4) Jewelry or gems; (5) Stamps; (6) Antiques; (7) Artifacts; (8) Collectibles; (9) Memorabilia; (10) Similar unregulated investments that are not commonly part of an institutiona...

... the claimant for an examination for an evaluation to determine whether or not the temporary disability has become permanent. A self-insuring employer shall notify the bureau immediately after payment of two hundred weeks of temporary total disability. The self-insuring employer may request that the bureau schedule the claimant for an examination to determine whether the temporary disability has become permanent. W...

...er or is carrying out administration or evaluation of a public program, if the third party obtains a written release from the individual or employer that is signed and does all of the following: (a) Specifically identifies the information to be disclosed; (b) States which files will be accessed to obtain the information; (c) Specifies the purpose for which the information is sought and that the information w...

...uclear-reactor economic methodology and evaluation technology; (K) Treatment, storage, recycling, and disposal technology for advanced-nuclear-reactor and system-spent fuel; (L) Treatment, storage, and disposal technology for advanced-nuclear-reactor and system radioactive waste.

...fees collected for the two-year program evaluation required under division (C) of section 4508.08 of the Revised Code for a private organization or corporation to continue to offer a nationally recognized motorcycle operator training course or curriculum under that section. All investment earnings of the motorcycle safety and education fund shall be credited to the fund. (B) The fund shall be used solely to pay ...

...ervice based upon objective performance evaluations. (3)(a) The auditor of state may examine the accounts, reports, systems, and other data of each deputy registrar at least every two years. The registrar, with the approval of the director, shall immediately remove a deputy who violates any provision of the Revised Code related to the duties as a deputy, any rule adopted by the registrar, or a term of the deputy's...

...purchase services related to vocational evaluation, work adjustment, personal adjustment, job placement, job coaching, and community-based assessment from accredited community rehabilitation program facilities. (L) For purposes of enforcing this section, every peace officer is deemed to be an agent of the registrar. Any peace officer or any authorized employee of the bureau of motor vehicles who, in the performanc...

....F.R. 391.64; (2) A skill performance evaluation certificate permitting operation of a commercial motor vehicle pursuant to 49 C.F.R. 391.49. (Z) "Mobile telephone" means a mobile communication device that falls under or uses any commercial mobile radio service as defined in 47 C.F.R. 20, except that mobile telephone does not include two-way or citizens band radio services. (AA) "Motor vehicle" means a vehicle,...

...sufficient evidence on which to base an evaluation of such injuries or damage, then the registrar after reasonable notice to such person, if it is possible to give such notice, otherwise without notice, shall not require any deposit of security for the benefit or protection of such person. However, if the registrar finds that during the time provided in this section it was impossible to determine the extent of such i...

...ubject to the limits of the registrar's evaluation on behalf of the claimant. (C) If a judgment is rendered against the principal named in a corporate surety bond a certified copy of the judgment entry shall be forwarded to the bonding company, who shall forward to the clerk of the court where the judgment was rendered the amount of the judgment up to the limits of the accepted surety bond. This action must be taken...