Ohio Revised Code Search
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Section 3707.99 | Penalty.
...(A) Whoever violates section 3707.03 of the Revised Code, unless good and sufficient reason therefor is shown, is guilty of a minor misdemeanor. (B) Whoever violates division (B) of section 3707.06 or section 3707.48 of the Revised Code is guilty of a minor misdemeanor on a first offense; on each subsequent offense, the person is guilty of a misdemeanor of the fourth degree. |
Section 3959.01 | Third-party administrator definitions.
...As used in this chapter: (A) "Administration fees" means any amount charged a covered person for services rendered. "Administration fees" includes commissions earned or paid by any person relative to services performed by an administrator. (B) "Administrator" means any person who adjusts or settles claims on, residents of this state in connection with life, dental, health, prescription drugs, or disability insur... |
Section 3959.04 | Administrators tested and licensed by superintendent.
...(A) Administrators may be tested and shall be licensed by the superintendent of insurance in accordance with rules adopted by the superintendent. (B) An administrator who has been licensed or certified by the state of the administrator's domicile under a statute or rule similar to sections 3959.01 to 3959.16 of the Revised Code shall, upon application, be licensed without testing, provided the state of domicile reco... |
Section 3959.05 | License requirement.
...No person shall solicit a plan or sponsor of a plan to act as an administrator for, or provide administrative services to, a plan or sponsor of a plan that is either domiciled in this state or has its principal headquarters or principal administrative office in this state unless the person is duly licensed under sections 3959.01 to 3959.16 of the Revised Code. |
Section 3959.06 | Application for license - filing fee.
...(A) An administrator shall file with the superintendent of insurance an application for a license on a form prescribed by the superintendent. (B) All applications for a license shall be accompanied by a nonrefundable filing fee of two hundred dollars per application made payable to the department of insurance. (C) All fees collected under this section and under section 3959.10 of the Revised Code shall be paid into... |
Section 3959.07 | Action on application by superintendent.
...The superintendent of insurance shall act on all applications submitted for a license within thirty days after receipt. |
Section 3959.08 | Denying application for license.
...If the superintendent of insurance denies the application for license, the superintendent shall promptly notify the applicant of the denial and the reasons for the denial within thirty days of the date the application is denied by the superintendent. The notice shall advise the applicant of the applicant's right to request a hearing within thirty days from the date of the mailing of the notice. |
Section 3959.09 | Issuing license and certificate of authority.
...Upon approval of the application for an administrators license and payment of appropriate filing fees, the applicant shall be granted a license by the superintendent of insurance and an appropriate certificate of authority to operate as an administrator will be issued to the applicant. The license shall be issued, effective on the date the application is approved by the superintendent or board, or both, for a term ex... |
Section 3959.10 | License renewal.
...(A) The superintendent of insurance shall, at least sixty days before the expiration of the administrators license granted by the superintendent, provide a renewal notice on a form approved by the superintendent. (B) The renewal application shall require the payment of a renewal fee of three hundred dollars and the payment shall be made prior to the expiration date of the license. Failure to make the renewal payment... |
Section 3959.11 | Written agreement to act as administrator between the administrator and the plan sponsor.
...(A) No person may act as an administrator without a written agreement between the administrator and the plan sponsor. Such written agreement shall be retained as part of the official records of the administrator for the duration of the agreement and for five years thereafter. Each such agreement shall contain, at a minimum, all of the following information: (1) The term of the agreement; (2) An explanation of the s... |
Section 3959.111 | Access to information regarding maximum allowable cost pricing.
...nal or regional wholesaler and is not obsolete. (3) Each contract between a pharmacy benefit manager and a pharmacy shall include an electronic process to appeal, investigate, and resolve disputes regarding maximum allowable cost pricing that includes all of the following: (a) A twenty-one-day limit on the right to appeal following the initial claim; (b) A requirement that the appeal be investigated and resolved ... |
Section 3959.12 | Suspension, revocation or nonrenewal of license.
...(A) Any license issued under sections 3959.01 to 3959.16 of the Revised Code may be suspended for a period not to exceed two years, revoked, or not renewed by the superintendent of insurance after notice to the licensee and hearing in accordance with Chapter 119. of the Revised Code. The superintendent may suspend, revoke, or refuse to renew a license if upon investigation and proof the superintendent finds that the ... |
Section 3959.13 | Report of felony conviction.
...Any person who, while licensed as an administrator, is convicted of a felony, shall report the conviction to the superintendent of insurance within thirty days of the entry date of the judgment of conviction. Within that thirty-day period, the person shall also provide the superintendent with a copy of the judgment, the commitment order or the order imposing a community control sanction, and any other relevant docu... |
Section 3959.14 | Administrator prohibitions.
...No administrator shall do any of the following: (A) Use plan sponsor funds for any purpose or purposes not specifically set forth in written form by the administrator; (B) Fail to disclose in written solicitation material and on an on-going basis, at least once annually, to the plan sponsor all of the following: (1) All fixed plan costs, identifying what each fixed cost includes; (2) Levels of the specific excess... |
Section 3959.15 | Books and records.
...(A) Administrators shall maintain detailed books and records that reflect all administered transactions specifically in regard to premiums or contributions received and deposited and claims and authorized expenses paid. (B) The detailed preparation, journalizing, and posting of such books and records shall be made in accordance with the terms and conditions of the service agreement between the administrator and the ... |
Section 3959.16 | Preemption of federal law.
...Sections 3959.01 to 3959.16 of the Revised Code do not apply to an employer's self-insurance plan to the extent that federal law supersedes, preempts, prohibits, or otherwise precludes the application of any provisions of those sections to such plan. |
Section 3959.17 | 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. |
Section 3959.20 | Prohibited acts regarding cost-sharing, pharmacy claims for reimbursement, fees.
...(A) As used in this section: (1) "Cost-sharing" means the cost to an individual insured under a health benefit plan according to any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket expense requirements imposed by the plan. (2) "Health benefit plan" and "health plan issuer" have the same meanings as in section 3922.01 of the Revised Code. (3) "Pharmacy audit" has the same meaning as in... |
Section 3959.22 | Mailing or delivering drugs.
...No health plan issuer, pharmacy benefit manager, or any other administrator shall prohibit a pharmacy from mailing or delivering drugs to patients as an ancillary service. |
Section 3959.99 | Penalty.
...A person who violates section 3959.05 of the Revised Code is guilty of a misdemeanor of the fourth degree. |
Section 4701.01 | Accountancy board law definitions.
... (B) "Public accounting firm" means a sole proprietorship, a partnership, a limited liability company, a professional association, a corporation-for-profit, or any other business organization that is engaged in the practice of public accounting in this state. (C) "Opinion report" means any opinion on a financial statement that is expressed in accordance with generally accepted auditing standards as to the fairnes... |
Section 4701.02 | Accountancy board.
...There is hereby created the accountancy board, consisting of nine members appointed by the governor with the advice and consent of the senate. Eight of the members shall be certified public accountants of whom: (A) At least two shall be in active public accounting practice in public accounting firms having offices only in this state; (B) At least two shall be in active public accounting practice in public accountin... |
Section 4701.03 | Enforcement powers of board - compensation - bond.
...this chapter, and rules regulating the sole proprietorship, partnership, limited liability company, professional association, corporation-for-profit, or other legal entity practice of public accounting. A majority of the board shall constitute a quorum for the transaction of business. (B) The board shall keep and hold open for public inspection all records of its proceedings. (C) The board may employ any cler... |
Section 4701.04 | Registration.
...firm, and the person is not functioning solely or predominately as a passive investor in the public accounting firm. (5) The person meets or exceeds the continuing education requirements that the board establishes by rule. (6) A person who holds a professional license, registration, or certification issued by this state or another state complies with the requirements of that license, registration, or certificatio... |
Section 4701.05 | Compensation and expenses of board.
...Each member of the accountancy board shall be paid an amount fixed pursuant to division (J) of section 124.15 of the Revised Code for each day or portion thereof spent in the discharge of his official duties and shall be reimbursed for his actual and necessary expenses incurred in the discharge of such duties. |
Section 3710.01 | Asbestos abatement definitions.
...ership, firm, association, corporation, sole proprietorship, or other business concern. (H) "Public entity" means the state or any of its political subdivisions or any agency or instrumentality of either. (I) "License" means a document issued by the director of environmental protection to a business entity or public entity affirming that the entity has met the requirements set forth in this chapter to engage in a... |
Section 3711.12 | Implementing rules - recommendations.
...e director of health, at the director's sole discretion, to conduct an inspection prior to renewal of a license; (3) Initial license fees and license renewal fees; (4) Fees for inspections conducted by the director under section 3711.10 of the Revised Code; (5) Safety standards, quality-of-care standards, and quality-of-care data reporting requirements; (6) Reporting and auditing requirements; (7) Inspectio... |
Section 3714.021 | Removal of construction wastes and demolition debris.
...t is located within the boundaries of a sole source aquifer as described in division (B) of section 3714.03 of the Revised Code constitutes a violation of this chapter and rules adopted under it. (C) The board of health of the health district in which a construction and demolition debris facility is located, the director of environmental protection, or an authorized representative of either shall request the removal... |
Section 3714.03 | License for new facility may not be used due to location.
...ture. (2) Within the boundaries of a sole source aquifer designated by the administrator of the United States environmental protection agency under the "Safe Drinking Water Act," 88 Stat. 1660 (1974), 42 U.S.C.A. 300f, as amended. (C) Neither the director nor any board shall issue a permit to install under section 3714.051 of the Revised Code to establish a new construction and demolition debris facility when t... |
Section 3717.53 | Provision of food nutrition information and consumer incentive items.
...n. (B) The director of agriculture has sole and exclusive authority in this state to regulate the provision of food nutrition information and consumer incentive items at food service operations. The director may adopt rules for that purpose in accordance with Chapter 119. of the Revised Code, including rules that establish a schedule of civil penalties for violations of this section and rules adopted under it.... |
Section 3721.01 | Nursing home and residential care facility definitions and classifications.
... of a partnership or corporation from a sole proprietorship; (ii) A change in operational control of the nursing home, regardless of whether ownership of any or all of the real property or personal property associated with the nursing home is also transferred; (iii) A lease of the nursing home to the entering operator or termination of the exiting operator's lease; (iv) If the exiting operator is a partnership,... |
Section 3723.01 | Radon definitions.
...ration, partnership, association, firm, sole proprietorship, or other entity engaged in business. (E) "Government entity" means the state, a state agency as defined in section 1.60 of the Revised Code, a political subdivision, or any entity of local government. (F) "Radon mitigation" means the application or installation of methods or materials to reduce airborne radon concentrations in a building or to prevent the... |
Section 3734.53 | Contents of county or joint solid waste management district plan.
... are to be served. The district has the sole discretion to determine the types of assistance that are to be provided under the program and the categories of generators to be served by it. (B) In addition to the information, projections, demonstrations, and certification required by division (A) of this section, a plan shall do all of the following: (1) Establish the schedule of fees, if any, to be levied under di... |
Section 3734.575 | Report of fees and accounts.
...mitting the compilation, the director's sole responsibility shall be to compile the information submitted by the boards under this division. (B) If changes in the 1994 budget of a county or joint district result from the required change in the fees levied by the district under division (B) of section 3734.57 of the Revised Code, the levying of the fees under section 3734.573 of the Revised Code, or the levying of ... |
Section 3739.99 | Civil penalties for violation of chapter.
...rer that is a corporation, partnership, sole proprietorship, limited partnership, or association who knowingly violates division (D) of section 3739.07 of the Revised Code is liable for a civil penalty of at least seventy-five thousand dollars, not to exceed two hundred fifty thousand dollars for each such violation, in addition to any other penalty prescribed by law. (E) Any person who violates any provisi... |
Section 3769.089 | Simulcast horse racing.
...es as defined by the commission, in its sole discretion. For any calendar year, the horsemen's association at each track may negotiate an agreement with the permit holder for that track to reduce the number of live racing days at that track to less than the minimum live racing days required by division (B)(2)(a), (b), or (c) of this section, as applicable, subject to the approval of the commission. These negotiations... |
Section 3772.01 | Definitions.
...dual or a combination of individuals; a sole proprietorship, a firm, a company, a joint venture, a partnership of any type, a joint-stock company, a corporation of any type, a corporate subsidiary of any type, a limited liability company, a business trust, or any other business entity or organization; an assignee; a receiver; a trustee in bankruptcy; an unincorporated association, club, society, or other unincorporat... |
Section 3775.09 | Denial, suspension, and revocation of licenses.
...rue owner of the business or is not the sole owner and has not disclosed the existence or identity of other persons who have an ownership interest in the business. (3) The applicant or licensee is a corporation that sells more than five per cent of the corporation's voting stock, or more than five per cent of the voting stock of a corporation that controls the corporation, or sells the corporation's assets, other t... |
Section 3780.01 | Definitions.
...rea square footage, enclosed areas used solely for the storage and maintenance of mother plants, clones, or seedlings shall not be included. (15) "Cultivation facility" means a facility where an adult use cultivator or a level III adult use cultivator is authorized to operate. (16) "Dispensary" means a person who has a certificate of operation to operate a dispensary under Chapter 3796 of the Revised Code and C... |
Section 3901.28 | Provisions effective if no emergency bylaws.
...ors, though less than a quorum, or by a sole remaining director. (C) If there are no surviving directors, but at least three vice-presidents of the company survive, the three vice-presidents with the longest term of service shall be the directors and shall possess all of the powers of the previous board of directors and such powers as are granted herein or by subsequently enacted legislation. By majority vote, said ... |
Section 3901.36 | Confidential and privileged treatment of documents and information - exceptions.
...making authority. The superintendent is solely responsible for the administration, execution, and enforcement of the provisions of sections 3901.32 to 3901.37 of the Revised Code. (F) No waiver of any applicable privilege or claim of confidentiality in the documents, materials, or other information described in this section shall occur as a result of sharing or receiving documents and information as authorized in d... |