Ohio Revised Code Search
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Section 3938.07 | Issuance in violation of chapter.
...A certificate of insurance that is issued in violation of this chapter shall be void. |
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Section 3938.09 | Rules.
...The superintendent of insurance may adopt rules in accordance with Chapter 119. of the Revised Code as necessary to implement this chapter. |
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Section 3963.03 | Information required in contracts - disclosure form - proposed contracts.
...(A) Each health care contract shall include all of the following information: (1)(a) Information sufficient for the participating provider to determine the compensation or payment terms for health care services, including all of the following, subject to division (A)(1)(b) of this section: (i) The manner of payment, such as fee-for-service, capitation, or risk; (ii) The fee schedule of procedure codes reasonabl... |
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Section 3963.04 | Material amendment to contract.
... If an amendment to a health care contract is not a material amendment, the contracting entity shall provide the participating provider notice of the amendment at least fifteen days prior to the effective date of the amendment. The contracting entity shall provide all other notices to the participating provider pursuant to the health care contract. (2) A material amendment to a health care contract shall occu... |
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Section 3963.05 | Standard provider credentialing application - form.
...are widely in use in the state by contracting entities and that best serve these goals. (B) No contracting entity shall fail to use the applicable standard credentialing form described in division (A) of this section when initially credentialing or recredentialing providers in connection with policies, health care contracts, and agreements providing basic health care services, specialty health care servi... |
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Section 3963.06 | Notice of incomplete form - inconsistencies - credentialing.
... the oral or written request of a contracting entity to submit a credentialing form, submits a credentialing form that is not complete, the contracting entity that receives the form shall notify the provider of the deficiency electronically, by facsimile, or by certified mail, return receipt requested, not later than twenty-one days after the contracting entity receives the form. (B) If a contracting entity... |
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Section 3963.07 | Contents of remittance notices.
...ing provider; (2) The name of the contracting entity through which the payment rate and any discount are claimed, if the contracting entity is different from the payer. (B) Division (A) of this section takes effect March 31, 2009. |
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Section 3963.08 | Adoption of implementing rules.
...The superintendent of insurance shall adopt any rules necessary for the implementation of this chapter. |
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Section 3963.09 | Unfair and deceptive practices - market conduct examination.
...en together, constitute a pattern or practice of violating this chapter may be defined as an unfair and deceptive insurance practice under sections 3901.19 to 3901.26 of the Revised Code. (B) The superintendent of insurance may conduct a market conduct examination of any person regulated by the department of insurance under Title XVII or Title XXXIX of the Revised Code to determine whether any violation of th... |
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Section 3963.10 | Application of chapter.
... to any of the following: (A) A contract or provider agreement between a provider and the state or federal government, a state agency, or federal agency for health care services provided through a program for medicaid or medicare; (B) A contract for payments made to providers for rendering health care services to claimants pursuant to claims made under Chapter 4121., 4123., 4127., or 4131. of the Revise... |
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Section 3963.11 | Prohibited conduct by contracting entities.
...(A) No contracting entity shall do any of the following: (1) Offer to a provider a health care contract that includes a most favored nation clause; (2) Enter into a health care contract with a provider that includes a most favored nation clause; (3) Amend or renew an existing health care contract previously entered into with a provider so that the contract as amended or renewed adds or continues to include a... |
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Section 4116.01 | Unlawful labor requirements in public improvement contracts definitions.
... funds, authorized to enter into a contract for the construction of a public improvement or to construct a public improvement by the direct employment of labor. "Public authority" shall not mean any municipal corporation that has adopted a charter under sections three and seven of article XVIII of the Ohio Constitution, unless the specific contract for a public improvement includes state funds appropriated for ... |
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Section 4116.02 | Labor requirements not to be imposed on contractor or subcontractor.
...ing products or services, awarding contracts, or overseeing procurement or construction for public improvements, shall ensure that bid specifications issued by the public authority for the proposed public improvement, and any subsequent contract or other agreement for the public improvement to which the public authority and a contractor or subcontractor are direct parties, do not require a contractor or subcontractor... |
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Section 4116.03 | Public authority - prohibited acts.
...any of the following: (A) Award a contract for a public improvement in violation of section 4116.02 of the Revised Code; (B) Discriminate against any bidder, contractor, or subcontractor for refusing to become a party to any agreement with any labor organization on the public improvement that currently is under bid or on projects related to that improvement; (C) Otherwise violate section 4116.02 of the Revised Cod... |
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Section 4116.04 | Complaints - attorney fees.
...rty may file a complaint against a contracting public authority alleging a violation of section 4116.02 or 4116.03 of the Revised Code within two years after the date on which the contract is signed for the public improvement in the court of common pleas of the county in which the public improvement is performed. The performance of the contract forms the basis of the allegation of a violation. The court in which the... |
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Section 4151.01 | Definitions.
...vidual who performs services for a contractor, subcontractor, or labor broker who satisfies both of the following conditions: (1) The individual is subject to the contractor's, subcontractor's, or labor broker's direction and control, not only as to the result accomplished but also as to the details of how the work is performed; (2) The individual receives compensation in the form of wages, salary, or any other f... |
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Section 4151.02 | Employee verification.
...on, no nonresidential construction contractor, subcontractor, or labor broker shall fail to verify the employment eligibility of each employee hired to perform work on a nonresidential construction project through the e-verify program. A nonresidential construction contractor shall use e-verify to confirm the identity and legal working status of each employee employed by the nonresidential construction contractor. A ... |
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Section 4151.03 | Retention of unverified employees.
...No nonresidential construction contractor, subcontractor, or labor broker shall continue to employ an individual after receiving a notice of final nonconfirmation for that individual from the e-verify program. For purposes of this section, a final nonconfirmation occurs when the contractor, subcontractor, or labor broker receives a case result indicating that an employee's employment eligibility could not be confirme... |
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Section 4151.04 | Investigation and enforcement.
...ines the complaint contains sufficient facts to reasonably conclude that a violation may have occurred. (2) This section does not prohibit an individual from filing an anonymous complaint on a form other than the prescribed complaint form. Except as provided in division (B) of this section, the attorney general may, but is not required to, investigate a violation alleged in a form other than a prescribed form, prov... |
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Section 4151.05 | Civil actions; state contract bid disqualifications.
...(A) If a contractor, subcontractor, or labor broker fails to comply with an order that has become enforceable against the contractor, subcontractor, or labor broker under division (F) of section 4151.04 of the Revised Code, the attorney general shall bring a civil action against the contractor, subcontractor, or labor broker in the court of common pleas of the county where the contractor, subcontractor, or labor brok... |
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Section 4151.06 | License revocation.
...(A) If a court, pursuant to an action brought under section 4151.05 of the Revised Code, determines that a nonresidential construction contractor, subcontractor, or labor broker has knowingly employed an unauthorized alien, the court shall order each appropriate agency to permanently revoke any license issued by the agency and held by the nonresidential construction contractor, subcontractor, or labor broker specific... |
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Section 4151.07 | State agency contract compliance.
... agency shall fail to include in a contract for the construction or renovation of a nonresidential construction project provisions requiring compliance with sections 4151.02 and 4151.03 of the Revised Code. (B) The attorney general shall conduct periodic reviews of state agencies to ensure that state agencies are including within their contracts for the construction or renovation of nonresidential construction proj... |
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Section 4165.01 | Deceptive trade practices definitions.
...ographic origin, material, mode of manufacture, quality, accuracy, or other characteristics of the goods or services or to indicate that the work or labor on the goods or services was performed by members of a union or other organization. (B) "Collective mark" means a mark used by members of a cooperative, association, or other collective group or organization to identify goods or services and distinguish them from ... |
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Section 4165.02 | Deceptive trade practice actions.
...A person engages in a deceptive trade practice when, in the course of the person's business, vocation, or occupation, the person does any of the following: (1) Passes off goods or services as those of another; (2) Causes likelihood of confusion or misunderstanding as to the source, sponsorship, approval, or certification of goods or services; (3) Causes likelihood of confusion or misunderstanding as to affiliation... |
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Section 4165.03 | Injunctive relief.
... person who commits a deceptive trade practice that is listed in division (A) of section 4165.02 of the Revised Code may commence a civil action for injunctive relief against the other person, and the court of common pleas involved in that action may grant injunctive relief based on the principles of equity and on the terms that the court considers reasonable. Proof of monetary damage or loss of profits is not requir... |