Ohio Revised Code Search

...nning on July 1, 2013, each protection service shall reasonably modify its one-call notification system so as to permit the reasonable identification of the location of a proposed excavation site in a manner in which the protection service may then notify any potentially affected limited basis participants. Each member of a protection service, including limited basis participants, shall be responsible for provi...

...ers and repairs or removes an abandoned service station and its appurtenances and restores the property as provided in division (E) or (G) of section 3791.12 of the Revised Code, it may bring an action to recover the costs of repair or removal and restoration, plus the costs of the suit. The owner of the property and any lessee, other than a person leasing and operating the service station pursuant to a contrac...

...e of such a licensee. (2) "Financial services" means services that a financial institution is authorized to provide under Title XI, sections 1315.01 to 1315.18, or Chapter 1733. of the Revised Code, as applicable. (B) A financial institution that provides financial services to any cultivator, processor, retail dispensary, or laboratory licensed under this chapter shall be exempt from any criminal law of this st...

... hospital, dental, surgical, or medical services; (2) Any individual or group contract of a health insuring corporation, which contract provides for hospital, dental, surgical, or medical services; (3) Any other individual or group policy or agreement under which a third-party payer provides for hospital, dental, surgical, or medical services. (C) "Provider" means a hospital, nursing home, physician, podiatrist, ...

..."Pay in full" means paying for a health service in its entirety without cost-sharing on the part of a third-party payer. "Pay in full" includes payment made under a deductible requirement. (2) "Third-party payer" and "provider" have the same meanings as in section 3901.38 of the Revised Code. (B)(1) Subject to division (C) of this section, a provision in a contract entered into between a third-party payer and a p...

...ion that provides coverage for a health service that a certified registered nurse anesthetist is authorized to perform pursuant to section 4723.43 of the Revised Code shall not differentiate in the reimbursement rate for such a service based on whether the service was provided by a certified registered nurse anesthetist or by a physician licensed under under Chapter 4731. of the Revised Code. (B) Nothing in this se...

...ractices otolaryngology. (3) "Related services" means services necessary to assess, select, and appropriately adjust or fit a hearing aid to ensure optimal performance. (B) On and after the effective date of this section, and notwithstanding section 3901.71 of the Revised Code, a health benefit plan shall provide coverage for the full cost of both of the following: (1) One hearing aid per hearing-impaired ear u...

...the insurer; (2) Compensation for all services rendered in the liquidation; (3) Any necessary filing fees; (4) The fees and mileage payable to witnesses; (5) Reasonable attorney's fees; (6) The reasonable expenses of a guaranty association or foreign guaranty association in handling claims. (B) Class 2. All claims under policies for losses incurred, including third party claims, all claims of contracted p...

...ial contract for goods or nonmanagement services, or otherwise, unless the power is the result of an official position with or corporate office held by the person. (H) "Declination of insurance coverage" means a denial, in whole or in part, by an insurance institution or agent of requested insurance coverage. (I) "Individual" means any natural person who in connection with life, health, or disability insurance: ...

...e superintendent of insurance to accept service of process on its behalf, provided the superintendent causes a copy of such service to be mailed forthwith by registered mail to the insurance support organization at its last known principal place of business. The return postcard receipt for the mailing is sufficient proof that the copy of the service of process was properly mailed by the superintendent.

...g plans, or who performs administrative services related to mass marketed property and casualty insurance, provided that no commission is paid to the person for any of the services described in this division; (4) Any employer or association, any officer, director, or employee of an employer or association, or any trustee of an employee trust plan, to the extent that any such person is engaged in the administration o...

... of insurance, securities, or financial services, or that involves moral turpitude regardless of whether a judgment has been entered by the court; (8) Having admitted to committing, or having been found to have committed, any insurance unfair trade act or practice or insurance fraud; (9) Using fraudulent, coercive, or dishonest practices, or demonstrating incompetence, untrustworthiness, or financial irresponsibi...

...rrespective of any United States postal service marking or other stamp or mark indicating the date on which the payment may have been mailed. The superintendent of insurance, in the superintendent's sole discretion, may waive the twenty-five per cent penalty and interest charge thereon for a first-time, inadvertent nonpayment of the tax when due if the nonpayment is reported immediately upon discovery and the ...

...scribes, which may include a consent to service of process. The appointment shall set forth the name and complete address of the agent. The agent shall reside or maintain a business address within this state. The superintendent shall keep a record of the foreign life insurance companies transacting business in this state and the name and address of their respective agents. (C) If any agent dies, moves out of the st...

...The policy has been brought within the "Servicemembers Civil Relief Act," 117 Stat. 2835 (2003), 50 U.S.C. App. 541, et seq. (2) This section does not apply to any policy that was canceled or that had lapsed for the nonpayment of premiums prior to the commencement of the insured's period of military service. (B) An individual life insurance policy described in division (A) of this section shall not lapse or be fo...

...termination in which emergency medical services have been determined to be not medically necessary or appropriate after an external review pursuant to division (A) of this section, the health plan issuer shall afford the covered person the opportunity for an external review by the superintendent of insurance, based on the prudent layperson standard, pursuant to section 3922.11 of the Revised Code. (D) Upon rec...

...f care, continued stay, or health care service for which the covered person received emergency services, but has not yet been discharged from a facility. (B) Immediately upon receipt of a request for an expedited external review, the health plan issuer shall determine if the request is complete under any associated rules, policies, or procedures adopted by the superintendent of insurance and eligible for exped...

...ense as the health care provider of the service in question, and shall be physicians or other appropriate health care providers who meet all of the following minimum qualifications: (A) Be an expert in the treatment of the medical condition that is the subject of the external review; (B) Be knowledgeable about the requested health care service through clinical experience, within the last three years, treating...

...ong-term care insurance, long-term care services, and state long-term care insurance partnership programs, including all of the following: (1) State and federal regulations and requirements and the relationship between state long-term care insurance partnership programs and other public and private coverage of long-term care services, including medicaid; (2) Available long-term care services and providers; (3) ...

...e benefits for home and community-based services in addition to nursing home care; (C) Include case management services in its coverage of home and community-based services; (D) Provide five per cent inflation protection compounded annually; (E) Provide for the keeping of records and explanation-of-benefit reports on insurance payments that count toward resource exclusion for the medicaid program; (F) Provid...

...rding potential out of pocket costs for services provided by in-network providers. (C) As used in this section: (1) "Health benefit plan" means any policy of sickness and accident insurance or any policy, contract, or agreement covering one or more "basic health care services," "supplemental health care services," or "specialty health care services," as defined in section 1751.01 of the Revised Code, offered or pro...

... pharmacist for providing a health care service to a patient if both of the following are the case: (A) The pharmacist provided the health care service to the patient in accordance with Chapter 4729. of the Revised Code, including any of the following services: (1) Managing drug therapy under a consult agreement pursuant to section 4729.39 of the Revised Code; (2) Administering immunizations in accordance with ...

...hall deny coverage for the costs of any services provided to an insured through teledentistry if those services would be covered if the services were delivered other than through teledentistry. (C) The coverage that may not be excluded under division (B) of this section is subject to all terms, conditions, restrictions, exclusions, and limitations that apply to any other coverage for services performed by participa...

...ember, to be a subscriber to its rating services for any kind of insurance, or subdivision or class of risk or a part or combination thereof, for which it is authorized to act as a rating bureau. Notice of proposed changes in such rules and regulations shall be given to subscribers. Each rating bureau shall furnish its rating services without discrimination to its members and subscribers. The reasonableness of any ru...

...roviding transportation network company services. This right to exclude any and all coverage may apply to any coverage included in the automobile insurance policy, including all of the following: (1) Liability coverage for bodily injury and property damage; (2) Uninsured and underinsured motorist coverage described in section 3937.18 of the Revised Code; (3) Uninsured and underinsured motor vehicle property damage...