Ohio Revised Code Search

...e and may be renewed in accordance with procedures established in those rules.

...nses shall be issued according to usual procedures. As used in this division, "owned and controlled" means that at least fifty-one per cent of the business, including corporate stock if a corporation, is owned by persons who belong to one or more of the groups set forth in this division, and that those owners have control over the management and day-to-day operations of the business and an interest in the capital,...

...e commission; 2. Providing reasonable procedures for appointing and electing members, as well as holding meetings, of the management committee; 3. Providing reasonable standards and procedures: a. For the establishment and meetings of other committees; b. Governing any general or specific delegation of any authority or function of the commission; and c. Voting guidelines and procedures for commission decisi...

...cifically designates in writing; (4) A medical information exchange for insurers operated under procedures intended to ensure confidentiality, including the use of general codes for results of tests for a number of diseases and conditions as well as for AIDS or an AIDS-related condition. (D) The HIV test or tests to be given the applicant shall be a test or tests approved by the director of health pursuant to divis...

...ugs are appropriate and consistent with medical or scientific evidence. (C) "Health benefit plan" and "health plan issuer" have the same meanings as in section 3922.01 of the Revised Code. (D) "Medical or scientific evidence" has the same meaning as in section 3922.01 of the Revised Code. (E) "Step therapy exemption" means an overriding of a step therapy protocol in favor of immediate coverage of the health car...

...y collectively bargained agreement; any medical terminology; any words that are defined in the policy; and any policy language required by law or regulation; provided however, the insurer identifies the language or terminology excepted by this paragraph and certifies, in writing, that the language or terminology is entitled to be excepted by this paragraph. (C) Any other reading test may be approved by the superinte...

...ludes prospective or utilization review procedures conducted prior to providing a health care service, device, or drug. (L) "Unanticipated out-of-network care" means health care services, including clinical laboratory services, that are covered under a health benefit plan and that are provided by an out-of-network provider when either of the following conditions applies: (1) The covered person did not have the ab...

...ufacture of any principal drug, device, procedure, or other therapy in dispute; (e) The covered person who received the service that is the subject of a dispute or the covered person's immediate family. (2) The superintendent shall require the arbitration entity to do all of the following: (a) Utilize arbitrators who are knowledgeable and experienced in applicable principles of contract and insurance law; (b)...

...urce is an institutional source. (C) Medical record information supplied by a medical care institution or medical professional and requested under division (A) of this section, together with the identity of the medical professional or medical care institution that provided such information, shall be supplied either directly to the individual or to a medical professional designated by the individual and licensed to...

...ce due to military service, a long-term medical disability, or some other extenuating circumstance may request an extension of the renewal date of the individual's license. To be eligible for such an extension, the individual shall submit a written request with supporting documentation to the superintendent. At the superintendent's discretion, the superintendent may not consider a written request made after the renew...

...ce due to military service, a long-term medical disability, or some other extenuating circumstance may request an extension of the renewal date of the individual's license. To be eligible for such an extension, the individual shall submit a written request with supporting documentation to the superintendent. At the superintendent's discretion, the superintendent may not consider a written request made after the renew...

...tion, as well as protection of personal medical and financial information and trade secrets, that may be contained in a Product filing or supporting information. 3. Any Product approved by the Commission may be sold or otherwise issued in those Compacting States for which the Insurer is legally authorized to do business. Article XI. Review of Commission Decisions Regarding Filings 1. Not later than thirty (30) day...

...der any associated rules, policies, or procedures adopted by the superintendent of insurance and eligible for expedited external review under division (C)(1) of this section. The health plan issuer shall immediately notify the covered person of its determination in accordance with any associated rules adopted by the superintendent of insurance. (D) The health plan issuer shall provide to the assigned independe...

...with any associated rules, policies, or procedures adopted by the superintendent of insurance. (C) On receipt of a request from a health plan issuer, the superintendent shall consider whether the health care service is a service covered under the terms of the covered person's policy, contract, certificate, or agreement, except that the superintendent shall not conduct a review under this section unless the covered ...

... by any associated rules, policies, or procedures adopted by the superintendent of insurance. A health plan issuer shall maintain written records on all requests for external review for at least three years. (C) The superintendent shall compile and annually publish the information collected under this section and report the information to the governor, the speaker and minority leader of the house of representa...

... or certificate in accordance with the procedures and requirements provided for individual policyholders under section 3923.31 of the Revised Code, except that the person has thirty days from the date of delivery to return the policy or certificate and have the premium refunded. (2) A notice of the policyholder's or certificate holder's rights under division (H)(1) of this section and section 3923.31 of the Revi...

...(A) If an account holder, whose medical savings account has been opened by the account holder's employer, later ceases to be employed by that employer, the account holder may, within sixty days of the account holder's final date of employment, request in writing to the administrator of the account that the administrator continue to administer the account. (1) If the administrator agrees to continue to administer the...

...vised Code that establish standards and procedures for the fair and equitable cessation or suspension of operations, including rules that ensure the payment of all claims on policies issued and expenses incurred by the medical liability underwriting association. Rules adopted under this section may include rules relating to reinsurance. The remaining funds of the medical liability underwriting association shall be us...

...change in value determined by using the procedures defined in the policy or contract will be credited as if the contractual date of crediting interest or changing values was the date of impairment or insolvency, whichever is earlier, and will not be subject to forfeiture. (3) The exclusion from coverage referenced in division (C)(2)(c) of this section shall not apply to any portion of a policy or contract, includin...

... the chapter does not conflict with the procedures described in this section. The superintendent shall, within fifteen days after objections are submitted concerning the hearing officer's report and recommendations, issue a final order either confirming or revoking the cease-and-desist order described in division (C)(1) of this section. The final order may be appealed as described in section 119.12 of the Revised Cod...

..."Third party source" means the American medical association, American dental association, the centers for medicare and medicaid services, the national center for health statistics, the department of health and human services office of the inspector general, the Ohio department of insurance, or the Ohio department of medicaid. (C) Notwithstanding divisions (A) and (B) of this section, a health care contract may...

...n either automated controls or internal procedures, or confirming that all automated controls or internal procedures were followed; (k) A description of efforts being undertaken to remediate the situation that permitted the cybersecurity event to occur; (l) A copy of the licensee's privacy policy and a statement outlining the steps the licensee will take to investigate and notify consumers affected by the cyberse...

...controlled substance does not include a medical examination. (4) Division (N) of this section does not encourage, prohibit, or authorize, and shall not be construed as encouraging, prohibiting, or authorizing, the conduct of testing for the illegal use of any controlled substance by employees, applicants, or other persons, or the making of employment decisions based on the results of that type of testing. (O) Thi...

...ire, sheriff's department, or emergency medical or rescue personnel and units, an exclusive nurse's unit, employees of Ohio deaf and blind education services, employees of any public employee retirement system, corrections officers, guards at penal or mental institutions, special police officers appointed in accordance with sections 5119.08 and 5123.13 of the Revised Code, psychiatric attendants employed at mental he...

...s during the pendency of the settlement procedures set forth in section 4117.14 of the Revised Code, or a strike during the term or extended term of a collective bargaining agreement occurs, the public employer may seek an injunction against the strike in the court of common pleas of the county in which the strike is located. (B) An unfair labor practice by a public employer is not a defense to the injunction proc...