Ohio Revised Code Search
| Section |
|---|
|
Section 3924.033 | Information disclosed by carrier to employer.
...(4) The benefits and premiums available under all health benefit plans for which the employer is qualified. (B) The information described in division (A) of this section shall be provided in a manner determined to be understandable by the average small employer, and in a manner sufficient to reasonably inform a small employer regarding the employer's rights and obligations under the health benefit plan. (C) Nothing... |
|
Section 3924.04 | Limits on premium rates - low claim rates.
...ristics shall not vary from the applicable midpoint rate by more than forty per cent of the midpoint rate, as to all health benefit plans issued on or after the effective date of this section. (2) A carrier may apply a low claims discount not to exceed five per cent of the midpoint rate to small employers with favorable claims experience. A premium rate for a rating period may fall outside the range set forth in div... |
|
Section 3924.06 | Demonstrating compliance through actuarial certification.
...enefit plans to small employers shall file annually with the superintendent of insurance an actuarial certification stating that the underwriting and rating methods of the carrier do all of the following: (1) Comply with accepted actuarial practices; (2) Are uniformly applied to health benefit plans covering small employers; (3) Comply with the applicable provisions of sections 3924.01 to 3924.06 of the Revise... |
|
Section 3924.21 | Overcharges.
...iary was overcharged by more than five hundred dollars and the beneficiary notifies the third-party payer of the error at any time after the thirty-day period immediately following the date on which the third-party payer makes payment to the provider or hospital for the item or service, the provider or hospital shall refund to the beneficiary an amount equal to fifteen per cent of the amount overcharged. (C) A provi... |
|
Section 3924.25 | Prohibiting exclusion based on health condition.
... pursuant to this division shall be deposited by the clerk of the court into the county treasury. |
|
Section 3924.27 | Prohibiting premium increase on the basis of any health status-related factor.
...n of enrollment or continued enrollment under the plan, to pay a premium or contribution that is greater than the premium or contribution for a similarly situated individual enrolled in the plan on the basis of any health status-related factor in relation to the individual or to an individual enrolled under the plan as a dependent of the individual. (C) Nothing in division (B) of this section shall be construed to r... |
|
Section 3924.41 | Prohibiting consideration of eligibility for medical assistance.
...ing payments to or on behalf of an enrollee, subscriber, policyholder, or certificate holder. |
|
Section 3924.42 | Prohibiting imposing different requirements on department of job and family services.
...igible for medicaid and who is covered under a health care policy, contract, or plan issued by the health insurer, that are different from the requirements applicable to an agent or assignee of any other individual so covered. |
|
Section 3924.46 | Prohibiting denial of enrollment of certain children.
...nsurer shall deny enrollment of a child under the health plan of the child's parent on the basis that any of the following applies: (1) The child was born out of wedlock. (2) The child is not claimed as a dependent on the federal tax return of the parent. (3) The child does not reside in the household of the parent, or in the service area of the health insurer. |
|
Section 3924.47 | Duties of health insurer of noncustodial parent.
...h a health insurer of a noncustodial parent, the health insurer shall do all of the following: (A) Provide such information to the custodial parent of the child as may be necessary for the child to obtain benefits through the coverage; (B) Permit the custodial parent, or a provider with the approval of the custodial parent, to submit claims for covered services without the approval of the noncustodial parent; (C) ... |
|
Section 3924.48 | Parent required by court or administrative order to provide health care coverage for child - duties of health insurer.
..., permit the parent to enroll the child under the family coverage without regard to any enrollment period restrictions; (2) If the parent is enrolled under the coverage but fails to make application to obtain coverage for the child, enroll the child under the family coverage upon application of the child's other parent or pursuant to a child support order containing provisions in compliance with sections 3119.29 to... |
|
Section 3924.49 | Parent required by court or administrative order to provide health care coverage for child - duties of parent.
..., permit the parent to enroll the child under the coverage without regard to any enrollment period restrictions; (2) If the parent is enrolled under the coverage but fails to make application to obtain coverage for the child, enroll the child under the family coverage upon application of the child's other parent or pursuant to a child support order containing provisions in compliance with sections 3119.29 to 3119.... |
|
Section 3924.51 | Plan benefits for adopted children.
...ticipants or beneficiaries for adoption under the same terms and conditions as apply to the natural, dependent children of the participants and beneficiaries, irrespective of whether the adoption has become final. (C) A health plan described in division (B) of this section shall not restrict coverage under the plan of any dependent child adopted by a participant or beneficiary, or placed with a participant or benefi... |
|
Section 3924.53 | Coverage for person in custody or confined in jail.
... entity is wholly or primarily responsible for rendering or arranging for the rendering of health care services for the beneficiary. (C) A benefits contract may limit or exclude coverage for health care services rendered to such a beneficiary if the injury or sickness for which the services were rendered resulted from an action or omission for which the governmental entity operating the correctional facility, or the... |
|
Section 3924.61 | Medical savings account definitions.
... Revenue Code of 1986," 100 Stat. 2085, 26 U.S.C.A. 1, as amended. |
|
Section 3924.62 | Opening of medical savings account.
...tural person, to pay the person's eligible medical expenses and the eligible medical expenses of that person's spouse or dependent. A medical savings account may be opened by or on behalf of a person only if that person participates in a sickness or accident insurance plan, a plan offered by a health insuring corporation organized under Chapter 1751. of the Revised Code, or a self-funded, employer-sponsored health be... |
|
Section 3924.63 | Owners of interest in medical savings account.
... and the account holder's spouse and dependents. No medical savings account shall be subject to garnishment or attachment. |
|
Section 3924.64 | Administration of accounts.
...ry; (3) An insurer authorized under Title XXXIX of the Revised Code to engage in the business of sickness and accident insurance; (4) A dealer or salesperson licensed under Chapter 1707. of the Revised Code; (5) An administrator licensed under Chapter 3959. of the Revised Code; (6) A certified public accountant; (7) An employer that administers an employee benefit plan subject to regulation under the "Employee R... |
|
Section 3924.65 | Notice of tax status of deposits.
...ployer that opens a medical savings account for an employee shall inform the employee, in writing at the time the account is opened, of the federal and state tax status of deposits made to the account. |
|
Section 3924.66 | Account deducted from Ohio adjusted gross income.
...ount during the taxable year, to the extent that the funds for the deposits have not otherwise been deducted or excluded in determining the account holder's federal adjusted gross income. The amount deducted by an account holder for a taxable year shall not exceed three thousand dollars. If two married persons each have an account, each spouse may claim the deduction described in this section, and the amount deducted... |
|
Section 3924.67 | Withdrawals.
...der for, or pay for, a documented eligible medical expense of the account holder or the account holder's spouse or dependent. |
|
Section 3924.68 | Procedure upon termination of employment.
...ay continue to be used to pay the eligible medical expenses of the account holder and the account holder's spouse and dependents, pursuant to sections 3924.61 to 3924.74 of the Revised Code. If the account holder later becomes employed by a new employer that opens a new medical savings account on the account holder's behalf, the account holder may transfer any funds remaining in the account opened by the account hol... |
|
Section 3924.69 | Death of account holder.
...(A) An account holder may designate a beneficiary or beneficiaries of the account holder's medical savings account. (B) Any funds remaining in a medical savings account upon the death of an account holder shall be distributed to the decedent's estate and shall be subject to taxation as part of the decedent's estate under Chapter 5731. of the Revised Code. |
|
Section 3924.70 | Advances to cover employee's eligible medical expenses.
...nt needed to cover the employee's eligible medical expenses when such expenses exceed the amount then available in the employee's account, if the employee agrees to repay the advance from future installments or upon the termination of employment. If such an advance causes the employee's federal adjusted gross income to be greater than it would have been had the advance not been made, the amount by which the employee'... |
|
Section 3924.71 | Funds disbursed pursuant to bankruptcy protection.
...d gross income for the year of disbursement in determining taxes due under Chapter 5747. of the Revised Code. |