Ohio Revised Code Search
Section |
---|
Section 3922.08 | Provisions applicable to standard reviews; Timing;.
...erson, the health plan issuer, and the superintendent of insurance. |
Section 3922.22 | Adoption of rules.
...The superintendent may adopt rules under Chapter 119. of the Revised Code to carry out the purposes of this chapter and shall prescribe forms relating to notices, appeals, and requests for external review under this chapter. |
Section 3923.03 | Necessary provisions.
...ions, subcaptions, and form number. The superintendent of insurance shall not disapprove any such policy on the ground that every printed portion of its text matter or of any indorsement or attached paper is not printed in uniform type if it is shown that the type used is required to conform to the laws of another state in which the insurer is licensed. (E) The exceptions and reductions of indemnity are adequately c... |
Section 3923.04 | Policy standard provisions.
...or group captions or subcaptions as the superintendent of insurance may approve. (A) A provision as follows: Entire contract; changes. This policy, including the indorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be indorsed hereon or attached hereto. No age... |
Section 3923.06 | Order of presentation of policy provisions.
...isks or short rate table filed with the superintendent of insurance. |
Section 3923.08 | Nonconflicting provisions permitted in policy.
...his state may, with the approval of the superintendent of insurance, insert in any policy of sickness and accident insurance, delivered, issued for delivery, or used in this state, any provision required by the laws of the state or the country in which such insurer is domiciled, if such provision is not substantially in conflict with any law of this state. Any domestic insurer may insert in any such policy issued fo... |
Section 3923.13 | Blanket sickness and accident insurance.
...r group which, in the discretion of the superintendent of insurance, may be subject to the issuance of a blanket sickness and accident policy. An individual application is not required from a person covered under a blanket sickness or accident policy, nor is it necessary for the insurer to furnish each person a certificate. All benefits under any blanket sickness and accident policy shall be payable to the person i... |
Section 3923.20 | Exemptions for certain insurance policies.
...the policy, which in the opinion of the superintendent of insurance is less favorable to the insured than would be permitted by the standard provisions set forth in section 3923.04 of the Revised Code. |
Section 3923.22 | Appeal - applicability of administrative procedure sections.
...order, finding, or determination of the superintendent of insurance may appeal to the court of common pleas of Franklin county in accordance with sections 119.01 to 119.13, inclusive, of the Revised Code. Said sections are also applicable to sections 3923.01 to 3923.22 inclusive, of the Revised Code. |
Section 3923.333 | Benefits to be reasonable in relation to premium charged.
...in relation to the premium charged. The superintendent of insurance shall issue reasonable rules to establish minimum standards for loss ratios of medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health insuring corporation on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial pri... |
Section 3923.41 | Long-term care insurance definitions.
... and (3) of this section about whom the superintendent of insurance finds that all of the following are true: (a) The issuance of the group policy is not contrary to the best interest of the public. (b) The issuance of the group policy would result in economies of acquisition or administration. (c) The benefits of the group policy are reasonable in relation to the premiums charged. (E) "Policy" means any poli... |
Section 3923.442 | Offer of nonforfeiture benefit option with long-term care policy.
...h proposed certificate holder. (C) The superintendent of insurance may adopt rules specifying the type of nonforfeiture benefits insurers may offer as part of long-term care insurance policies and certificates, the standards for nonforfeiture benefits, and the rules regarding contingent benefit upon lapse, including a determination of the specified period of time during which a contingent benefit upon lapse wi... |
Section 3923.47 | Rules.
...The superintendent of insurance shall, pursuant to Chapter 119. of the Revised Code, adopt rules to carry out the purposes of sections 3923.41 to 3923.48 of the Revised Code including rules related to the state long-term care partnership program. |
Section 3923.601 | Standardized prescription identification information - pharmacy benefits to be included.
...ll annually file a certificate with the superintendent of insurance certifying that it or any person it contracts with to issue a standardized identification card or electronic technology for submission and routing of prescription drug claims complies with this section. (E)(1) Except as provided in division (E)(2) of this section, if there is a change in the information contained in the standardized identification c... |
Section 3924.01 | Small employer health benefit plans - provision of health care coverage definitions.
...r by any other person acceptable to the superintendent of insurance, that states that, based upon the person's examination, a carrier offering health benefit plans to small employers is in compliance with sections 3924.01 to 3924.06 of the Revised Code. "Actuarial certification" shall include a review of the appropriate records of, and the actuarial assumptions and methods used by, the carrier relative to establishin... |
Section 3924.031 | Carrier offering health benefit plan in small employer market through network plan.
...monstrated both of the following to the superintendent of insurance: (a) The carrier will not have the capacity to deliver services adequately to the members of any additional groups because of the carrier's obligations to existing group contract holders and members. (b) The carrier is applying division (B)(2) of this section uniformly to all small employers without regard to the claims experience of those employer... |
Section 3924.04 | Limits on premium rates - low claim rates.
... as determined by the carrier. (D) The superintendent of insurance may adopt rules in accordance with Chapter 119. of the Revised Code that set forth alternative methods of calculating the premium rates required under this section, which methods result in premium rates that are consistent with, and meet the applicable requirements of, this section. A carrier that utilizes any such method of calculation is deemed to ... |
Section 3924.74 | Coordination of benefits.
...The superintendent of insurance may include coordination of benefits regarding medical savings accounts in the rules on coordination of benefits adopted under section 3902.14 of the Revised Code. |
Section 3925.01 | Approval and recording of articles.
...a copy thereof to be deposited with the superintendent of insurance. He shall withhold from the company the certificate of authority if its name is so similar to that of any other company as to mislead the public. |
Section 3925.081 | Investing in mortgage related securities.
...tions contained in rules adopted by the superintendent of insurance: (1) Securities offered and sold pursuant to 15 U.S.C.A. section 77d(5); (2) Mortgage related securities described in 15 U.S.C.A. section 78c(a)(41); (3) Securities issued or guaranteed by the federal home loan mortgage corporation or the federal national mortgage association. |
Section 3925.101 | Regulation of foreign branches of domestic companies.
...With the approval of the superintendent of insurance, sections 3925.06 to 3925.09 and 3925.20 of the Revised Code shall not apply to a domestic insurance company that qualifies as a foreign country branch of a United States company that writes policies exclusively in countries other than the United States if those other countries have laws pertaining to insurance company investments and the foreign country... |
Section 3925.20 | Authorized real estate holdings.
...t except with the prior approval of the superintendent of insurance. No investment in real estate to be used primarily for recreational, agricultural, or mining purposes shall be made under authority of this section. |
Section 3925.26 | Deposit by accident companies.
...ders with an officer of this state, the superintendent of insurance shall receive such deposit and issue therefor to the company a receipt, giving a pertinent description of the securities and a certificate of their market value. Such company may exchange these securities for other like securities, in whole or in part, as far as its business requires, and it may wholly withdraw them if it discontinues business in suc... |
Section 3925.28 | Rights and duties of consolidated companies.
...Upon filing with the superintendent of insurance a certificate of the consolidation authorized by section 3925.27 of the Revised Code, the companies thenceforth shall be consolidated under the corporate organization or articles of association and the corporate name chosen. All franchises, rights, equities, property, and estate, of whatever name or nature, belonging to or vested in either of the consolidating companie... |
Section 3927.05 | Revocation and recall of license.
...or such insurance on such property, the superintendent of insurance forthwith shall revoke and recall the license to it to do business in this state, and no renewal of the license shall be granted for three years after its revocation. No such company, association, or partnership shall transact any business in this state until it is again licensed and authorized to do so. This section does not prevent one or more of ... |