Ohio Revised Code Search
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Section 3902.51 | Out-of-network care reimbursement requirement, negotiations.
...ate reimbursement. Upon receipt of such notice, the health plan issuer shall attempt a good faith negotiation with the provider, facility, emergency facility, or ambulance. (C)(1) For unanticipated out-of-network care provided at an in-network facility in this state, a provider shall not bill a covered person for the difference between the health plan issuer's reimbursement and the provider's charge for the service... |
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Section 3903.01 | Reserve valuation - rehabilitation and liquidation definitions.
... date specified in the first assessment notice issued after the date of loss. (2) For any other insurer, that it is unable to pay its obligations when they are due, or when its admitted assets do not exceed its liabilities plus the greater of either of the following: (a) Any capital and surplus required by law for its organization; (b) The total par or stated value of its authorized and issued capital stock. ... |
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Section 3903.14 | Employment of special deputies.
...or approval of the plan, and after such notice and hearings as the court may prescribe, the court may either approve or disapprove the plan proposed, or may modify it and approve it as modified. Any plan approved under this section shall be, in the judgment of the court, fair and equitable to all parties concerned. If the plan is approved, the rehabilitator shall carry out the plan. In the case of a life insure... |
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Section 3903.24 | Civil action against liquidator or insurer.
... proof of claim, proof of loss, demand, notice, or the like, or where in any proceeding, judicial or otherwise, a period of limitation is fixed, either in the proceeding or by applicable law, for taking any action, filing any claim or pleading, or doing any act, and where in any such case the period had not expired at the date of the filing of the complaint, the liquidator may, for the benefit of the estate, take any... |
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Section 3903.26 | Transfers and obligations incurred one year prior to proceeding.
...ty for repayment. The court may, on due notice, order any such transfer or obligation to be preserved for the benefit of the estate, and in that event, the rehabilitator or liquidator shall succeed to and may enforce the rights of the purchaser, lienor, or obligee. (B)(1) A transfer of property other than real property is deemed to be made or suffered when it becomes so far perfected that no subsequent lien obtainab... |
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Section 3903.27 | Transfers made after filing of complaint.
...litation or liquidation is constructive notice upon the filing of the complaint in the court of common pleas, or upon the filing under Civil Rule 3(F) of a certified copy of the complaint with the clerk of the court of common pleas, of the county in which any real property or tangible property of the insurer is located. The exercise of jurisdiction by a court of the United States or any state to authorize or effect a... |
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Section 3903.31 | Report of liquidator to court.
...herefor. (D) The liquidator shall give notice of the order to show cause by publication and by first class mail to each member liable thereunder mailed to his last known address as it appears on the insurer's records, at least twenty days before the return day of the order to show cause. (E)(1) If a member does not appear and serve duly verified objections upon the liquidator on or before the return day of the orde... |
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Section 3903.35 | Proof of claims to be filed with liquidator.
...he last day for filing specified in the notice required under section 3903.22 of the Revised Code, except that proof of claims for cash surrender values or other investment values in life insurance and annuities need not be filed unless the liquidator expressly so requires. (B) The liquidator may permit a claimant making a late filing to share in distributions, whether past or future, as if he were not late, to the... |
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Section 3903.49 | Audit of books of proceeding.
...able to the auditor at any time without notice. The expense of each audit shall be considered a cost of administration of the proceeding. |
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Section 3903.53 | Appointing ancillary receiver.
...roperty of the insurer are charged with notice of the order appointing an ancillary receiver from the time when the judgment ordering the appointment is filed under Civil Rule 58, or a certified copy of the judgment is filed under Civil Rule 3(F), with the clerk of the court of common pleas of the county in which the property is located. (C) When a domiciliary liquidator has been appointed in a reciprocal state, the... |
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Section 3903.55 | Foreign claimants.
...s, if any, in the reciprocal states. If notice of the claims and opportunity to appear and be heard is afforded the domiciliary liquidator of this state as provided in division (B) of section 3903.56 of the Revised Code with respect to ancillary proceedings, the final allowance of claims by the courts in ancillary proceedings in reciprocal states shall be conclusive as to amount and as to priority against special dep... |
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Section 3903.7211 | Confidential information.
...ata, or other information received with notice or the understanding that it is confidential or privileged under the laws of the jurisdiction that is the source of the document, material, data, or other information. (E) The superintendent may enter into agreements governing sharing and use of information consistent with this section. (F) No waiver of any applicable privilege or claim of confidentiality in the conf... |
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Section 3903.76 | Court procedure.
...klin county shall forward a copy of the notice required by section 3903.75 of the Revised Code to the last known address of such company, corporation, or association. The Civil Rules shall govern such proceedings, and, upon the hearing of the cause, such order, judgment, or decree shall be entered by the court of common pleas of Franklin county as is just and equitable. |
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Section 3903.77 | Property and casualty insurance reporting requirements.
...al, or other information received with notice of confidential and privileged status under the laws of the jurisdiction that is the source of the document, material, or information. (3) Enter into agreements consistent with divisions (E) and (F) of this section for the sharing and use of information. (G) No waiver of any privilege or claim of confidentiality of documents, materials, or other information shall o... |
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Section 3903.88 | Confidential information.
... or other publication, in the form of a notice, circular, pamphlet, letter, or poster, or over any radio or television station, or in any other manner, an advertisement, announcement, or statement, written or oral, that contains an assertion, representation, or statement, regarding the RBC levels of any insurer or any component derived in the calculation of the RBC levels. (L) If any materially false statement is pu... |
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Section 3904.10 | Written reason for adverse underwriting decision summary of rights.
...ss days from the date of the mailing of notice or other communication of an adverse underwriting decision to an applicant, policyholder, or individual proposed for coverage, the insurance institution or agent within twenty-one business days from the date of receipt of such written request, shall furnish all of the following: (1) The specific reason or reasons for the adverse underwriting decision, in writing, if suc... |
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Section 3904.18 | Cease and desist order or report finding no violation - petition for review.
...en filed, the superintendent may, after notice and opportunity for hearing, alter, modify, or set aside, in whole or in part, any order or report issued under this section whenever conditions of fact or law warrant such action or if the public interest so requires. |
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Section 3904.19 | Penalties for knowing violation or violation of cease and desist order.
... 3904.18 of the Revised Code may, after notice and hearing and upon order of the superintendent, be subject to one or more of the following penalties, at the discretion of the superintendent: (1) A monetary fine of not more than ten thousand dollars for each violation; (2) A monetary fine of not more than fifty thousand dollars if the superintendent finds that violations have occurred with such frequency as to cons... |
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Section 3905.06 | Issuance and contents of license - lines of authority.
...The superintendent shall send a renewal notice to all licensees at least one month prior to the renewal date. Applications shall be submitted to the superintendent on forms prescribed by the superintendent. Each application shall be accompanied by a biennial renewal fee. The superintendent also may require an applicant to submit any document reasonably necessary to verify the information contained in the renewal ap... |
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Section 3905.16 | Surrender of license.
...r Chapter 119. of the Revised Code and notice of an opportunity for a hearing has been issued to the agent, and any attempt to so surrender is invalid. (B)(1) If an agent's license is surrendered, revoked, suspended, canceled, or inactivated by request, all appointments held by the agent are void. If a new license is issued to that person or if that person's previous license is reinstated or renewed, any appo... |
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Section 3905.21 | Notice of terminating relationship with insurance agent.
...(A) An insurer or authorized representative of an insurer that terminates the appointment, employment, contract, or other insurance business relationship with an insurance agent shall notify the superintendent of insurance, in the manner prescribed by the superintendent, within thirty days after the effective date of the termination. The insurer shall provide any additional information, documents, records, or other d... |
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Section 3905.24 | Confidentiality of records and information - exceptions.
...ant, licensee, or appointee is provided notice and opportunity for hearing pursuant to Chapter 119. of the Revised Code with respect to such records or information. If no administrative action is initiated with respect to a particular matter about which the superintendent obtained records or other information as part of an investigation, all such records and information relating to that matter shall remain confidenti... |
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Section 3905.39 | Continuation of certificates and licenses.
...e or unless cancelled by him on written notice from the company, or the "attorney" designated under section 3931.01 of the Revised Code, all certificates of authority and licenses of companies, or such "attorneys" organized or admitted to do business under the laws relating to insurance companies, may, in the discretion of the superintendent, and at the request of the company or such "attorney" and the payment of the... |
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Section 3905.53 | Effect of child support default on license.
...On receipt of a notice pursuant to section 3123.43 of the Revised Code, the superintendent of insurance shall comply with sections 3123.41 to 3123.50 of the Revised Code and any applicable rules adopted under section 3123.63 of the Revised Code with respect to a license issued pursuant to this chapter. |
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Section 3905.63 | Limits on business placed with controlled insurer by controlling producer.
...te the contract for cause, upon written notice to the producer. The insurer shall suspend the authority of the producer to write business during the pendency of any dispute regarding the cause of the termination. (b) The producer shall render accounts to the insurer detailing all material transactions, including information necessary to support all commissions, charges, and other fees received by, or owing to, the p... |