Ohio Revised Code Search

...c diseases or accidents only, or to any hospital indemnity, medicare supplement, long-term care, disability income, one-time-limited-duration policy that is less than twelve months, or other policy that offers only supplemental benefits.

...c diseases or accidents only, or to any hospital indemnity, medicare supplement, disability income, or other policy that offers only supplemental benefits. (E) An insurer that offers any sickness and accident insurance or any public employee benefit plan that offers coverage for basic health care services is not required to comply with division (B) of this section if all of the following apply: (1) The insurer or p...

...gs as in section 3901.38 of the Revised Code. (2) "Overcharged" means charged more than the usual and customary charge, rate, or fee that is charged by the provider or hospital for a particular item or service. (3) "Provider" has the same meaning as in section 3902.11 of the Revised Code. (B) If a beneficiary identifies on the billing statement of a provider or hospital any item or service for which the beneficiar...

...ed by the receipt of care at a nonlocal hospital; or premiums paid for comprehensive sickness and accident insurance, coverage under a health care plan of a health insuring corporation organized under Chapter 1751. of the Revised Code, long-term care insurance as defined in section 3923.41 of the Revised Code, medicare supplemental coverage as defined in section 3923.33 of the Revised Code, or payments made pursuant ...

...e, and four shall be representatives of hospitals. (B) The directors shall act by majority vote with seven directors constituting a quorum for the transaction of any business or the exercise of any power of the stabilization reserve fund. The directors shall serve without salary, but each director shall be reimbursed for actual and necessary expenses incurred in the performance of official duties as a director of th...

...rity under Chapter 1751. of the Revised Code or an insurance company. The members of the board of governors shall serve without compensation but shall be reimbursed for their actual and necessary expenses incurred in the discharge of their official duties. The directors of the stabilization reserve fund shall serve as ex officio members of the medical liability underwriting association's board of governors. (2) Of ...

... any licensed physician, podiatrist, or hospital, as those terms are defined in section 2305.113 of the Revised Code.

... any licensed physician, podiatrist, or hospital, as those terms are defined in section 2305.113 of the Revised Code. (L) Any political subdivision self-insurance program or joint political subdivision self-insurance pool established under Chapter 2744. of the Revised Code; (M) Warranty or service contracts, or the insurance of those contracts; (N) Any state university or college self-insurance program established...

... (l) Any policy or contract providing hospital, medical, prescription drug, or other health care benefits pursuant to 42 U.S.C. Chapter 7, Title XVIII, Parts C and D or 42 U.S.C. Chapter 7, Title XIX and any corresponding regulations; (m) Structured settlement annuity benefits to which a payee or the beneficiary of a payee, if the payee is deceased, has transferred his or her rights in a structured settlement fa...

...al services of a charitable nature in a hospital or health institution for which compensation is not sought or contemplated; (f) A member of a police or fire protection agency or student employed on a part-time or seasonal basis by a political subdivision of this state; (g) Any individual in the employ of a camp or recreational area for children under eighteen years of age and owned and operated by a nonprofit ...

...and mechanics affected: (a) Medical or hospital care or insurance to provide such; (b) Pensions on retirement or death or insurance to provide such; (c) Compensation for injuries or illnesses resulting from occupational activities if it is in addition to that coverage required by Chapters 4121. and 4123. of the Revised Code; (d) Supplemental unemployment benefits that are in addition to those required by Chapter ...

... an institution of higher learning or a hospital, as distinguished from a general academic education or from an apprenticeship; or an employee who has completed the courses of specialized intellectual instruction and is performing related work under the supervision of a professional person to become qualified as a professional employee. (K) "Confidential employee" means any employee who works in the personnel office...

... section, "provider" does not include a hospital.

...m an air ambulance to the entrance of a hospital: (i) A physician who holds a current, valid license issued under Chapter 4731. of the Revised Code; (ii) A registered nurse who holds a current, valid license issued under Chapter 4723. of the Revised Code; (iii) Any other person holding a current, valid certificate or license to practice a health care profession in this state. (4) "Corrections officer" means a...

...dations and determinations, nursing and hospital services, medicine, rehabilitation, death benefits, funeral expenses, and like benefits for loss sustained on account of injury, disease, or death provided for by this chapter, the administrative costs of the industrial commission, bureau of workers' compensation board of directors, and bureau of workers' compensation to administer Chapters 4121., 4123., 4125., 4127., ...

...ively, except that for boards of county hospital trustees that are self-insuring employers, only those provisions applicable to the collection of assessments for private employers apply.

...rs under section 4123.35 of the Revised Code, shall contribute to the public insurance fund the amount of money determined by the administrator of workers' compensation, and the manner of determining contributions and the classifications of employers is as provided in sections 4123.39 to 4123.41 and 4123.48 of the Revised Code.

...strict employers therein, except county hospitals that are self-insuring employers: (a) For policy years commencing prior to January 1, 2016, in January of each year upon gross payrolls of the preceding twelve months; (b) For policy years commencing on or after January 1, 2016, in the month of December immediately preceding each policy year upon gross payrolls estimated for that policy year. (3) For the state as a...

...rnish the medical, surgical, nurse, and hospital care and attention or funeral expenses as would have been paid and furnished by virtue of this chapter under a similar state of facts by the bureau out of the state insurance fund if the employer had paid the premium into the fund. If any rule or regulation of a self-insuring employer provides for or authorizes the payment of greater compensation or more complete or e...

...vided 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-inflicted; (2) Caused by the employee being intoxicated, under the influence of a controlled substance not prescribed by a physician, certified ...

...g: (1) the amputee clinic at University hospital, Ohio state university; (2) the opportunities for Ohioans with disabilities agency; (3) an amputee clinic or prescribing physician, certified nurse-midwife, clinical nurse specialist, or certified nurse practitioner approved by the administrator or the administrator's designee, that an injured or disabled employee is in need of an artificial appliance, or in need of a ...

...an employee for any of the following: a hospital bill; a medical bill to a licensed physician, certified nurse-midwife, clinical nurse specialist, certified nurse practitioner, or hospital; or an orthopedic or prosthetic device.

...tion of higher education, including its hospitals.

...ded for by Chapter 4123. of the Revised Code. Except as provided in section 4127.06 of the Revised Code, no compensation shall be paid from the work-relief employees' compensation fund for or on account of any temporary disability or partial disability; except that in the cases included in the schedule of loss of specific members or sight, set forth in section 4123.57 of the Revised Code, the disability is deemed to...

...ntioned in Chapter 4123. of the Revised Code. This section shall not prevent the deposit or investment of the moneys of the public work-relief employees' compensation fund with the moneys of the state insurance fund provided for in Chapter 4123. of the Revised Code, but such funds shall be separate for all other purposes.