Ohio Revised Code Search
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Section 143.09 | Payments to volunteer peace officers who are totally and permanently disabled; death benefits.
...(A) A volunteer peace officer who, on or after December 22, 2015, is totally and permanently disabled as a result of discharging the duties of a volunteer peace officer shall receive a benefit from the volunteer peace officers' dependents fund of three hundred dollars per month, except that no payment shall be made to a volunteer peace officer who is receiving the officer's full salary during the time of the officer'... |
Section 143.091 | Initial premiums; determination of sufficiency.
...its to be paid from the volunteer peace officers' dependents fund to the individuals described in division (B)(1)(b) of section 143.09 of the Revised Code. (B) If the director determines that initial premiums are sufficient and that no additional assessments described in section 143.07 of the Revised Code are necessary to fund the benefits, benefits shall be paid from the fund in accordance with division (B)(2) of ... |
Section 143.10 | Determination of validity of claim.
...a claim for benefits, a volunteer peace officers' dependents fund board shall meet and determine the validity of the claim. If the board determines that the claim is valid, it shall make a determination of the amount due and certify its determination to the director of commerce for payment. The certificate shall show the name and address of the board, the name and address of each beneficiary, the amount to be receive... |
Section 143.11 | Nature of right to benefit.
...The right of an individual to a benefit under this chapter shall not be subject to execution, garnishment, attachment, the operation of bankruptcy or insolvency laws, or other process of law whatsoever, and shall be unassignable except as specifically provided in this chapter and sections 3105.171, 3105.65, and 3115.32 and Chapters 3119., 3121., 3123., and 3125. of the Revised Code. |
Section 1504.01 | Office of real estate and land management; creation.
...the department of natural resources the office of real estate and land management. The director of natural resources shall appoint a chief to administer the office. The chief shall act as the director's designee and carry out the duties of the chief on behalf of the director. Subject to the approval of the director, the chief shall employ assistants and other employees as necessary to execute the duties of the office... |
Section 1504.02 | Duties.
...(A) The office of real estate and land management shall do all of the following: (1) Except as otherwise provided in the Revised Code, coordinate and conduct all real estate functions for the department of natural resources, including acquiring land by purchase, lease, gift, devise, bequest, appropriation, or otherwise; administering grants through sales, leases, exchanges, easements, and licenses; performing invent... |
Section 1504.03 | Surveys and inspections.
...The chief of the office of real estate and land management or an employee of the office may enter upon lands to make surveys and inspections when necessary for the purposes of this chapter. The chief shall provide reasonable notice of any proposed entry to the owner or person in possession of the land to be surveyed or inspected not less than forty-eight hours and not more than thirty days prior to the date of entry.... |
Section 1753.01 | Physician-health plan partnership act definitions.
...As used in this chapter, "basic health care services," "enrollee," "health care facility," "health care services," "health insuring corporation," "medical record," "person," "primary care provider," "provider," "specialty health care services," "subscriber," and "supplemental health care services" have the same meanings as in section 1751.01 of the Revised Code. |
Section 1753.06 | Notice of status of the provider's application.
...A health insuring corporation shall notify a provider seeking to enter into a participation contract with the health insuring corporation of the status of the provider's application within one hundred twenty days after the health insuring corporation's receipt of the provider's completed application. That time period may be extended by a health insuring corporation if, due to extenuating circumstances, the health ins... |
Section 1753.07 | Information given to provider.
...(A)(1) Prior to entering into a participation contract with a provider under section 1751.13 of the Revised Code, a health insuring corporation shall disclose basic information regarding its programs and procedures to the provider. The information shall include all of the following: (a) How a participating provider is reimbursed for the participating provider's services, including the range and structure of ... |
Section 1753.09 | Terminating participation of provider.
...(A) Except as provided in division (D) of this section, prior to terminating the participation of a provider on the basis of the participating provider's failure to meet the health insuring corporation's standards for quality or utilization in the delivery of health care services, a health insuring corporation shall give the participating provider notice of the reason or reasons for its decision to terminate the prov... |
Section 1753.10 | Categories of providers.
...Nothing in this chapter or Chapter 1751. of the Revised Code requires a health insuring corporation to employ or contract with, or prohibits a health insuring corporation from employing or contracting with, any category of provider for the provision of basic or supplemental health care services, which health care services are within the recognized scope of practice of that category of provider. |
Section 1753.13 | Obtaining covered obstetric and gynecological services without referral.
...Every individual or group health insuring corporation policy, contract, or agreement that provides basic health care services but does not allow direct access to obstetricians or gynecologists shall permit a female enrollee to obtain covered obstetric and gynecological services from a participating obstetrician or gynecologist without obtaining a referral from the enrollee's primary care provider. No individual or g... |
Section 1753.14 | Procedures for standing referrals to specialists.
...(A) A health insuring corporation that does not allow direct access to all specialists shall establish and implement a procedure by which an enrollee may receive a standing referral to a specialist. The procedure shall provide for a standing referral to a specialist if a primary care provider determines in consultation with a specialist that an enrollee needs continuing care from a specialist. The referral shall be m... |
Section 1753.16 | Retroactively denying authorization.
...A health insuring corporation or utilization review organization that authorizes a proposed admission, treatment, or health care service by a participating provider based upon the complete and accurate submission of all necessary information relative to an eligible enrollee shall not retroactively deny this authorization if the provider renders the health care service in good faith and pursuant to the authorization a... |
Section 1753.21 | Prescription drugs.
... a majority of the members of which are physicians or advanced practice registered nurses affiliated with the health insuring corporation who may prescribe prescription drugs and pharmacists affiliated with the health insuring corporation; or in consultation with and with the approval of a pharmacy and therapeutics committee that is independent of the health insuring corporation consisting of physicians or advanced p... |
Section 1753.23 | Internal technology assessment process.
...ade by medical professionals, including physicians. (B) The process includes a review of relevant medical evidence, including the following, if available: (1) Peer-reviewed medical and scientific literature on the subject; (2) Published opinions, actions, and other relevant documents of independent, external research organizations such as the national institute of health, the national cancer institute, the United ... |
Section 1753.28 | Emergency services coverage.
... services are rendered, or an emergency physician treating the enrollee, obtained prior authorization for the emergency services. (C) A health insuring corporation policy, contract, or agreement providing coverage of basic health care services shall cover both of the following: (1) Emergency services provided to an enrollee at a participating hospital's emergency department if the enrollee presents self with an eme... |
Section 1753.30 | Other insurance provisions.
...Nothing in this chapter shall prevent or otherwise affect the application to any health care plan of those provisions of Title XVII or XXXIX of the Revised Code that would otherwise apply. |
Section 1753.31 | Risk-based capital for insurers model act definitions.
...As used in sections 1753.31 to 1753.43 of the Revised Code: (A) "Adjusted RBC report" means an RBC report that has been adjusted by the superintendent of insurance in accordance with division (C) of section 1753.32 of the Revised Code. (B) "Authorized control level RBC" means the number determined under the risk-based capital formula in accordance with the RBC instructions. (C) "Company action level RBC" means ... |
Section 1753.32 | Annual report.
...(A) Each domestic health insuring corporation shall, on or prior to the first day of March of every year, prepare and submit to the superintendent of insurance a report on its RBC levels as of the end of the calendar year just ended, in a form and containing such information as is required by the RBC instructions. In addition, a domestic health insuring corporation shall file its RBC report as follows: (1) With the ... |
Section 1753.33 | Company action level event.
...(A) For purposes of sections 1753.31 to 1753.43 of the Revised Code, a "company action level event" is any of the following events: (1) A health insuring corporation's filing of an RBC report that indicates that the health insuring corporation's total adjusted capital is greater than or equal to its regulatory action level RBC but less than its company action level RBC; (2) A health insuring corporation's fil... |
Section 1753.34 | Regulatory action level event.
...(A) For purposes of sections 1753.31 to 1753.43 of the Revised Code, a "regulatory action level event" is any of the following events: (1) The filing of an RBC report by a health insuring corporation that indicates that the health insuring corporation's total adjusted capital is greater than or equal to its authorized control level RBC but less than its regulatory action level RBC; (2) The notification by the super... |
Section 1753.35 | Authorized control level event.
...(A) For purposes of sections 1753.31 to 1753.43 of the Revised Code, an "authorized control level event" is any of the following events: (1) The filing of an RBC report by a health insuring corporation that indicates that the health insuring corporation's total adjusted capital is greater than or equal to its mandatory control level RBC but less than its authorized control level RBC; (2) The notification by the sup... |
Section 1753.36 | Mandatory control level event.
...(A) For purposes of sections 1753.31 to 1753.43 of the Revised Code, a "mandatory control level event" is any of the following events: (1) The filing of an RBC report by a health insuring corporation that indicates that the health insuring corporation's total adjusted capital is less than its mandatory control level RBC; (2) The notification by the superintendent of insurance to a health insuring corporation of an ... |