Ohio Revised Code Search
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Section 3915.16 | Interstate insurance product regulation code adopted.
... 11. To borrow, accept or contract for services of personnel, including, but not limited to, employees of a Compacting State; 12. To hire employees, professionals or specialists, and elect or appoint officers, and to fix their compensation, define their duties and give them appropriate authority to carry out the purposes of the Compact, and determine their qualifications; and to establish the Commission's personnel... |
Section 3919.28 | Action brought - service of summons.
...n arises, and summons may be issued and service had as provided by law for the issuance and service of such writs in the court of common pleas. |
Section 3922.14 | Additional actions for accreditation.
...r. (2) Maintain a toll-free telephone service to receive information on a twenty-four-hour-a-day, seven-days-a-week basis related to external reviews that is capable of accepting, recording, and providing appropriate instruction to incoming telephone callers during other than normal business hours; (3) Agree to maintain and provide to the superintendent, upon request and in accordance with any associated rules, p... |
Section 3923.04 | Policy standard provisions.
...hospital, nursing, medical, or surgical services may, at the insurer's option and unless the insured requests otherwise in writing not later than the time of filing proofs of such loss, be paid directly to the hospital or person rendering such services; but it is not required that the services be rendered by a particular hospital or person. The insurer shall insert in the blank space in the policy provision in divi... |
Section 3923.121 | Association of insurers to provide basic medical coverage to persons 65 or older.
...l be treated as a domestic corporation. Service of process against the association made upon a managing agent, any member thereof, or any agent authorized by appointment to receive service of process, shall have the same force and effect as if the service had been made upon all members of the association. (H) Under any policy issued as provided in this section, the policyholder, or such person as the policyholder sh... |
Section 3923.123 | Association of insurers to provide group health coverage to qualified unemployed persons.
...l be treated as a domestic corporation. Service of process against such association made upon a managing agent, any member thereof, or any agent authorized by appointment to receive service of process, shall have the same force and effect as if such service had been made upon all members of the association. (H) Under any policy issued as provided in this section, the policyholder, or such person as the policyholder ... |
Section 3923.23 | Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.
... and provides for reimbursement for any service which may be legally performed by a person licensed in this state for the practice of osteopathy, optometry, chiropractic, or podiatry, reimbursement under such policy or certificate shall not be denied when such service is rendered by a person so licensed. |
Section 3923.231 | Reimbursement for services of licensed psychologist.
... and provides for reimbursement for any service that may be legally performed by a person licensed in this state as a psychologist as defined in division (A) of section 4732.01 of the Revised Code, reimbursement under such policy or certificate shall not be denied when such service is rendered by a person so licensed who has received a doctorate of psychology or has a minimum of five years clinical experience. |
Section 3923.232 | Reimbursement for services of licensed dentist.
... and provides for reimbursement for any service that may be legally performed by a person licensed in this state for the practice of dentistry, reimbursement under such policy or certificate shall not be denied when such service is rendered by a person so licensed. |
Section 3923.234 | Reimbursement for services of certified mechanotherapist.
... and provides for reimbursement for any service that may be legally performed by a mechanotherapist, who was issued a certificate as a mechanotherapist under section 4731.15 of the Revised Code and practices in accordance with rules adopted under section 4731.151 of the Revised Code, reimbursement under the policy or certificate shall not be denied when the service is rendered by a person so registered, but only if t... |
Section 3923.27 | Hospitalization coverage for mental illness.
...he statutory charge for the cost of the services pursuant to section 5121.33 of the Revised Code or the benefits payable for the services under the applicable insurance policy. Insurance benefits for the coverage shall be paid so long as patients and their liable relatives retain their statutory liability pursuant to section 5121.33 of the Revised Code. Only that portion or per cent of the benefits shall be payable t... |
Section 3923.39 | Consolidated corporation cancelling individual policy for nonpayment.
... merged or consolidated with a hospital service association. (2) "Individual policy" means a policy other than a policy issued pursuant to section 3923.11, 3923.12, or 3923.13 of the Revised Code. (3) "Individual policyholder" means a person who is an insured under an individual policy. (4) "Cancel" means any cancellation, denial of renewal, lapse, or other termination of coverage of an individual policyholder of ... |
Section 3923.41 | Long-term care insurance definitions.
...litative, maintenance, or personal care services, provided in a setting other than an acute care unit of a hospital. "Long-term care insurance" includes group and individual annuities and life insurance policies or riders that provide directly or supplement long-term care benefits, and policies or riders that provide for payment of benefits based on cognitive impairment or the loss of functional capacity. "Long-... |
Section 3923.60 | Standard medical reference compendia for coverage of prescription drugs.
...d States department of health and human services under 42 U.S.C. 1395x(t)(2), as amended, or in medical literature that meets the criteria specified in division (B) of this section. (B) Medical literature may be accepted for purposes of division (A) of this section only if all of the following apply: (1) Two articles from major peer-reviewed professional medical journals have recognized, based on scientific or... |
Section 3923.61 | Public employee benefit plans - prescription drugs.
... The "AHFS (American hospital formulary service) drug information," a publication of the American society of health system pharmacists; (c) "Drug information for the health care provider," a publication of the United States pharmacopeia convention. (2) Medical literature may be accepted for purposes of division (A) of this section only if all of the following apply: (a) Two articles from major peer-reviewed profes... |
Section 3924.02 | Health care benefit plans covered by chapter.
...f providers with respect to health care services or benefits; (2) Any law that would impose any restriction on the ability to negotiate with providers regarding the level or method of reimbursing care or services provided under the health benefit plan; (3) Any law that would require any carrier to either include a specific provider or class of provider when contracting for health care services or benefits, or to ... |
Section 3924.03 | Health benefit plans covering small employers subject to conditions.
...employees of a small employer without a service waiting period. The decision of whether to impose a service waiting period shall be made by the small employer. Such waiting periods shall not be greater than ninety days. (3) Each health benefit plan shall provide for the special enrollment periods described in section 2701(f) of the "Health Insurance Portability and Accountability Act of 1996." (4) At least once in... |
Section 3924.21 | Overcharges.
...er or hospital for a particular item or service. (3) "Provider" has the same meaning as in section 3902.11 of the Revised Code. (B) If a beneficiary identifies on the billing statement of a provider or hospital any item or service for which the beneficiary 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 immedia... |
Section 3924.53 | Coverage for person in custody or confined in jail.
...anging 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 governmental entity with which the law enforcement officer is ... |
Section 3955.05 | Nonapplicability to certain kinds of insurance.
...acts of any corporation by which health services are to be provided to its subscribers; (H) Life, annuity, health, or disability insurance, including sickness and accident insurance written pursuant to Chapter 3923. of the Revised Code; (I) Fraternal benefit insurance; (J) Mutual protective insurance of persons or property; (K) Reciprocal or interinsurance contracts written pursuant to Chapter 3931. of the Revise... |
Section 3961.05 | Prohibited conduct.
... medical plan. (D) Except for hospital services, have restrictions on access to discount medical plan providers, including, but not limited to, waiting and notification periods. (E) Pay providers fees for medical services or collect or accept money from a member to pay a provider for medical services received under the discount medical plan. |
Section 3963.10 | Application of chapter.
...cy, or federal agency for health care services provided through a program for medicaid or medicare; (B) A contract for payments made to providers for rendering health care services to claimants pursuant to claims made under Chapter 4121., 4123., 4127., or 4131. of the Revised Code; (C) An exclusive contract between a health insuring corporation and a single group of providers in a specific geographic are... |
Section 3965.01 | Definitions.
...of the Revised Code. (R) "Third-party service provider" means a person other than a licensee that: (1) Contracts with a licensee to maintain, process, or store nonpublic information through its provision of services to the licensee; (2) Otherwise is permitted access to nonpublic information through its provision of services to the licensee. |
Section 4112.01 | Civil rights commission definitions.
...any individual employed in the domestic service of any person. (4) "Labor organization" includes any organization that exists, in whole or in part, for the purpose of collective bargaining or of dealing with employers concerning grievances, terms or conditions of employment, or other mutual aid or protection in relation to employment. (5) "Employment agency" includes any person regularly undertaking, with or with... |
Section 4112.12 | Commission on African-Americans.
...evelopment, mental health and addiction services, children and youth, and job and family services; the chancellor of higher education or the chancellor's designee; the director of education and workforce; two members of the house of representatives appointed by the speaker of the house of representatives each of whom shall be members of different political parties; and two members of the senate appointed by the presi... |