Ohio Revised Code Search
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Section 3902.64 | Coverage for hearing aids and related services.
...(A) As used in this section: (1) "Hearing aid" means any wearable instrument or device designed or offered for the purpose of aiding or compensating for impaired human hearing, including all attachments, accessories, and parts thereof, except batteries and cords, that is dispensed by a licensed audiologist, a licensed hearing aid dealer or fitter, or an otolaryngologist. (2) "Otolaryngologist" means a licensed ph... |
Section 3903.44 | Court payment of distributions.
...ection of unliquidated and undetermined claims, including third party claims. Distribution of assets in kind may be made at valuations set by agreement between the liquidator and the creditor and approved by the court. |
Section 3903.53 | Appointing ancillary receiver.
...ective securities those special deposit claims and secured claims which are proved and allowed in the ancillary proceedings in this state, and shall pay the necessary expenses of the proceedings. He shall promptly transfer all remaining assets, books, accounts, and records to the domiciliary liquidator. Subject to this section, the ancillary receiver and his deputies shall have the same powers and be subject to the ... |
Section 3904.03 | Pretext interviews.
...No insurance institution, agent, or insurance support organization shall use or authorize the use of pretext interviews to obtain information in connection with an insurance transaction. However, a pretext interview may be undertaken to obtain information from a person or institution that does not have a generally or statutorily recognized privileged relationship with the person about whom the information relates for... |
Section 3905.062 | Portable electronics insurance.
...(A) As used in this section: (1) "Customer" means a person who purchases portable electronics or services. (2) "Enrolled customer" means a customer who elects coverage under a portable electronics insurance policy issued to a vendor of portable electronics by an insurer. (3) "Endorsee" means an employee or authorized representative of a vendor authorized to sell or offer portable electronics insurance. (4) "L... |
Section 3905.063 | Self-service storage insurance; license required.
...(A) As used in this section: (1) "Customer" means a person who obtains the use of storage space from a self-service storage facility under the terms of a self-storage rental agreement. (2) "Endorsee" means an employee or authorized representative of a self-service storage facility authorized to sell or offer self-service storage insurance. (3) "Enrolled customer" means a customer who elects coverage under a self-s... |
Section 3905.71 | Managing general agent definitions.
... in any one year; (ii) Adjusts or pays claims, or negotiates reinsurance on behalf of the insurer. (2) "Managing general agent" does not include any of the following: (a) An employee of the insurer; (b) A United States manager of the United States branch of an alien insurer; (c) An underwriting manager that, pursuant to contract, manages all or a part of the insurance operations of the insurer, is under common c... |
Section 3911.091 | Proceeds or avails free from claims of creditors.
...Sec. 3911.091. (A) As used in this section, "employer" means any individual, sole proprietorship, partnership, limited liability company, corporation, or any other entity that is doing business in this state. "Employer" also includes all entities or persons that are controlled by or affiliated with any such individual, sole proprietorship, partnership, limited liability company, corporation, or other entity. Whether ... |
Section 3911.14 | Proceeds of policy.
...h exemptions from legal process and the claims of creditors of beneficiaries other than the insured, and upon such other terms and conditions, irrespective of the time and manner of payment of said proceeds, as have been agreed to in writing by such company and the insured or beneficiary. Such insurance company is not required to segregate funds so held but may hold them as a part of its general corporate assets. Any... |
Section 3919.04 | Reserves are a distinct fund.
...sufficient to provide for the shares of claims, expenses, and other current liabilities to be borne by such contracts as are not included under this section; provided that no such separation is required whenever reserves on all outstanding contracts are maintained in accordance with sections 3919.02 to 3919.10, inclusive, of the Revised Code. Such association may accumulate, maintain, and distribute a surplus above ... |
Section 3919.16 | Annual statement.
...s during the year; (G) Number of death claims not due, but for which assessments have been made; (H) Number of losses for which assessments have not yet been issued; (I) Number of death claims compromised or resisted during the year, and reasons for such compromise or resistance; (J) Whether the association or company charges annual dues; (K) The amount of the dues for one thousand dollars of indemnity; (L) Whe... |
Section 3923.05 | Provisions to conform to prescribed wording.
...Except as provided in section 3923.07 of the Revised Code, no policy of sickness and accident insurance delivered, issued for delivery, or used in this state shall contain provisions respecting the matters set forth in this section unless such provisions are in the words in which the same appear in this section. Any such provisions in any such policy shall be preceded by the appropriate caption appearing in this sect... |
Section 3923.121 | Association of insurers to provide basic medical coverage to persons 65 or older.
...(A) As used in this section: (1) "Association" means a voluntary unincorporated association of insurers formed for the sole purpose of enabling cooperative action to provide sickness and accident insurance in accordance with this section. (2) "Insurer" means any insurance company authorized to do the business of sickness and accident insurance in this state. (3) "Insured" means a person covered under a group polic... |
Section 3923.123 | Association of insurers to provide group health coverage to qualified unemployed persons.
...(A) As used in this section: (1) "Association" means a voluntary unincorporated association of insurers formed for the sole purpose of enabling cooperative action to provide health coverage in accordance with this section. (2) "Insurer" includes any insurance company authorized to do the business of sickness and accident insurance in this state and any health insuring corporation holding a certificate of authority ... |
Section 3923.63 | Coverage of inpatient care and follow-up care for mother and her newborn.
...(A) Notwithstanding section 3901.71 of the Revised Code, each individual or group policy of sickness and accident insurance delivered, issued for delivery, or renewed in this state that provides maternity benefits shall provide coverage of inpatient care and follow-up care for a mother and her newborn as follows: (1) The policy shall cover a minimum of forty-eight hours of inpatient care following a normal vaginal d... |
Section 3923.64 | Public employee benefit plans - maternity benefits.
...(A) Notwithstanding section 3901.71 of the Revised Code, each public employee benefit plan established or modified in this state that provides maternity benefits shall provide coverage of inpatient care and follow-up care for a mother and her newborn as follows: (1) The plan shall cover a minimum of forty-eight hours of inpatient care following a normal vaginal delivery and a minimum of ninety-six hours of inpatient... |
Section 3923.85 | Cancer medication; coverage for orally and intravenously administered treatments.
... caused the insurer or plan's costs for claims and administrative expenses for the coverage of basic health care services to increase by more than one per cent per year. (2) The insurer or plan submits a signed letter from an independent member of the American academy of actuaries to the superintendent of insurance opining that the increase in costs described in division (E)(1) of this section could reasonably justi... |
Section 3924.031 | Carrier offering health benefit plan in small employer market through network plan.
...oth physical and mental illnesses; (c) Claims experience; (d) Receipt of health care; (e) Medical history; (f) Genetic information; (g) Evidence of insurability, including conditions arising out of acts of domestic violence; (h) Disability. (2) "Network plan" means a health benefit plan of a carrier under which the financing and delivery of medical care, including items and services paid for as medical care, a... |
Section 3924.47 | Duties of health insurer of noncustodial parent.
...oval of the custodial parent, to submit claims for covered services without the approval of the noncustodial parent; (C) Make payment on claims submitted in accordance with division (B) of this section directly to the custodial parent, the provider, or the department of job and family services. |
Section 3929.35 | Determination of indebtedness charged for outstanding losses.
...ay for such deaths; (D) For all unpaid claims on account of nonfatal injuries for which the insured are liable without proof of negligence, under policies written more than five years prior to the date as of which the statement is made, the present value of the estimated future payments; (E) For the policies written in the five years immediately preceding the date as of which the statement is made, an amount determ... |
Section 3929.58 | Reinsurance agreement with Ohio mine subsidence insurance underwriting association.
...he association shall agree to provide a claims adjusting staff and to pay from the mine subsidence insurance fund all valid policyholder claims resulting from subsidence. |
Section 3929.631 | Stabilization reserve fund.
...lusive of dollars allocated for pending claims and after payment of all claims and expenses, are in excess of amounts that are necessary to ensure that the medical liability underwriting association is actuarially sound, adequately reserved, financially stable, and efficiently managed as to satisfy the purposes of sections 3929.62 to 3929.70 of the Revised Code, and the superintendent concurs, the superintendent shal... |
Section 3929.661 | Option of being liable as a co-insurer.
...The medical liability underwriting association may offer policyholders the option of being liable as a co-insurer on sums paid out by way of settlement or judgment against the policyholder on any claim made under the policy. The medical liability underwriting association has sole authority to settle any claim subject to the co-insurance option without the consent of the insured. The plan of operation shall set forth ... |
Section 3929.67 | Reasons for cancellation.
...(A) A medical liability insurance policy that insures a physician, podiatrist, or advanced practice registered nurse, written by or on behalf of the medical liability underwriting association pursuant to sections 3929.62 to 3929.70 of the Revised Code, may be cancelled only during the term of the policy for one of the following reasons: (1) Nonpayment of premiums; (2) The license of the insured to practice medi... |
Section 3931.05 | Maintenance of reserve fund.
...st his subscribers shall be deferred to claims for losses. If such reserve fund is not restored as required, the superintendent may revoke the license of the attorney. |