Ohio Revised Code Search

...The statement shall be submitted on the forms adopted by the superintendent pursuant to section 3901.77 of the Revised Code, and shall exhibit the following items: (A) The number of policies issued during the year; (B) The amount of insurance effected by such policies; (C) The amount of premiums received during the year; (D) The amount of interest and all other receipts, specifying the items; (E) The amount pai...

...nd such statement shall be filed on the forms adopted by the superintendent pursuant to section 3901.77 of the Revised Code.

...mpany has properly filed all documents, forms, and other information required by division (G) of section 3913.26 of the Revised Code; (3) The reorganization plan is fair and equitable to the mutual insurance company's policyholders. (C) The superintendent may retain qualified experts, at the mutual insurance company's expense, to assist in reviewing the reorganization plan. (D) The superintendent shall approve or ...

...zation plan under which the company was formed, without the prior approval of the mutual insurance holding company as its majority shareholder. The prior approval of the mutual insurance holding company must be evidenced by a resolution of the board of directors of the mutual insurance holding company delivered to the board of directors of the intermediate holding company or the reorganized stock company prior ...

...term insurance nor does it apply to any form of insurance granted as a nonforfeiture benefit. (H) A provision for nonforfeiture benefits and cash surrender values in accordance with the requirements of section 3915.06, 3915.07, or 3915.071 of the Revised Code; (I) Except for policies which guarantee unscheduled changes in benefits upon the happening of specified events or upon the exercise of an option without ch...

... and such benefit shall be a stipulated form of insurance, the net value of which shall be at least equal to the reserve at the date of default on the policy and on any dividend additions thereto, less a sum not more than two and one half per cent of the amount insured by the policy and of any existing dividend additions thereto, and less any existing indebtedness to the company on the policy. The policy shall specif...

...he policy be deducted; (D) In a policy form filed under section 3915.14 of the Revised Code after September 16, 1970, a provision that the policy will be eligible to participate in any future distributions of earnings, profits, or surplus of the company which are not allocated to all participating policies by reasonable and nondiscriminatory standards; (E) A provision that the policy will be eligible to receive a p...

...ied under oath by two officers in the form prescribed by the superintendent. The annual statement for a viatical settlement provider shall include the following information about the viatical settlement provider's transactions: (1) Aggregate total of the 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 categorize...

...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 viaticated...

...7.06 of the Revised Code, the following forms of life insurance are group life insurance: (A) A life insurance policy issued to an employer, or to the trustees of a fund established by an employer, which employer or trustees shall be deemed the policyholder, to insure employees of the employer for the benefit of persons other than the employer, subject to all of the following requirements: (1) All of the employees...

... accompany an application or enrollment form provided to prospective insureds.

...lowing facts and items in the following form: (A) Number of certificates or policies issued during the year; (B) The amount of the indemnity effected thereby; (C) Number of death losses during the year; (D) Number of death losses paid during the year; (E) Total amount received from death assessments during the year; (F) Total amount paid to certificate holders or policyholders for losses during the year; (G) N...

... its secretary or like officers, in the form required by the superintendent, of its business for the preceding year; (E) A certificate under the oath of its president and secretary, or like officers, that such corporation, company, or association is paying, and for the twelve months next preceding has paid, the maximum amount named in its policies or certificates; (F) A copy of its policy or certificate, applicatio...

...endent of insurance a statement, in the form required by the superintendent, of its business for the twelve months next preceding the thirty-first day of December of the preceding year.

..., and its condition on that day, in the form prescribed by the superintendent.

...oad employees, or of ex-union soldiers, formed for the mutual benefit of the member thereof and their families or blood relatives exclusively, or for purely charitable purposes.

...e following contractual benefits in any form: (1) Death benefits; (2) Endowment benefits; (3) Annuity benefits; (4) Temporary or permanent disability benefits; (5) Hospital, medical, or nursing benefits; (6) Monument or tombstone benefits to the memory of deceased members; (7) Any other benefit that may be provided by a life insurer and that is not inconsistent with this chapter, if the provision of that benef...

...r January 1, 1998, unless a copy of the form is filed with and approved by the superintendent of insurance in accordance with the provisions of law applicable to like policies issued by life or sickness and accident insurers in this state. (3) Each life, sickness and accident, or disability insurance certificate, and each annuity certificate, that is delivered or issued for delivery in this state on or after Januar...

...arch. The statement shall be in general form and content as approved by the national association of insurance commissioners for fraternal benefit societies, and as supplemented by additional information required by the superintendent. (B) As part of the annual statement required under division (A) of this section, each society shall, on or before the first day of March, file with the superintendent a valuation of it...

...o be made, issued, or circulated in any form any of the following: (1) Any misrepresentation or false or misleading statement concerning the terms, benefits, or advantages of any fraternal insurance contract now issued or to be issued in this state, or the financial condition of any fraternal benefit society; (2) Any false or misleading estimate or statement concerning the dividends or shares of surplus paid or to ...

...icensed, accredited, or certified to perform health care services consistent with state law. (N) "Health care provider" or "provider" means a health care professional or facility. (O) "Health care services" means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease. (P) "Health plan issuer" means an entity subject to the insurance laws and rules...

...he decision was based on any medical information, pursuant to the following sections: (1) Section 3922.08 of the Revised Code for a standard review; (2) Section 3922.09 of the Revised Code for an expedited review; (3) Section 3922.10 of the Revised Code for reviews involving experimental procedures. (B) A health plan issuer shall afford the opportunity for an external review by the superintendent of insura...

...es of this chapter and shall prescribe forms relating to notices, appeals, and requests for external review under this chapter.

...) "Fraudulent or materially incorrect information" means any type of intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to the covered person in question. (6) "Health care practitioner" has the same meaning as in section 3701.74 of the Revised Code. (7) "NCPDP SCRIPT standard" means the national council for prescription drug pr...

...sickness and accident insurance is that form of sickness and accident insurance covering special groups of persons as enumerated in one of the following divisions: (A) Under a policy issued to any common carrier, which shall be deemed the policyholder, covering a group defined as all persons who may become passengers on such common carrier; (B) Under a policy issued to an employer, who shall be deemed the policyhol...