Effective: April 11, 2021 Latest Legislation: Senate Bill 276 – 133rd General Assembly As used in this chapter: (A)(1) “Basic health care services” means the following services when medically necessary: (a) Physician’s services, except when such services are supplemental under division (B) of this section; (b) Inpatient hospital services; (c) Outpatient medical services; (d) Emergency […]
Effective: September 10, 2012 Latest Legislation: House Bill 487 – 129th General Assembly (A) Notwithstanding any law in this state to the contrary, any corporation, as defined in section 1751.01 of the Revised Code, may apply to the superintendent of insurance for a certificate of authority to establish and operate a health insuring corporation. If […]
Effective: May 20, 2014 Latest Legislation: Senate Bill 98 – 130th General Assembly (A) Each application for a certificate of authority under this chapter shall be verified by an officer or authorized representative of the applicant, shall be in a format prescribed by the superintendent of insurance, and shall set forth or be accompanied by […]
Effective: March 21, 2017 Latest Legislation: House Bill 505 – 131st General Assembly (A) Except as provided by division (D) of this section, upon the receipt by the superintendent of insurance of a complete application for a certificate of authority to establish or operate a health insuring corporation, which application sets forth or is accompanied […]
Effective: October 16, 2009 Latest Legislation: House Bill 1 – 128th General Assembly (A) The superintendent of insurance shall issue or deny a certificate of authority to a health insuring corporation filing an application pursuant to section 1751.03 of the Revised Code, one hundred thirty-five days from the superintendent’s receipt of a complete application and […]
Effective: March 22, 1999 Latest Legislation: House Bill 698 – 122nd General Assembly Upon obtaining a certificate of authority as required under this chapter, a health insuring corporation may do all of the following: (A) Enroll individuals and their dependents in either of the following circumstances: (1) The individual resides or lives in the approved […]
Effective: June 4, 1997 Latest Legislation: Senate Bill 67 – 122nd General Assembly Any trustee, director, officer, or employee of a health insuring corporation who receives, collects, disburses, or invests funds in connection with the activities of the health insuring corporation shall be responsible for such funds in a fiduciary relationship to the corporation.
Effective: June 4, 1997 Latest Legislation: Senate Bill 67 – 122nd General Assembly (A) Except as otherwise specifically provided in this chapter or Title XXXIX of the Revised Code, provisions of Title XXXIX of the Revised Code shall not be applicable to any health insuring corporation holding a certificate of authority under this chapter. This […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Every subscriber of a health insuring corporation is entitled to an evidence of coverage for the health care plan under which health care benefits are provided. (B) Every subscriber of a health insuring corporation that offers basic health care services is […]
Effective: October 1, 2011 Latest Legislation: House Bill 153 – 129th General Assembly (A)(1) This section applies to both of the following: (a) A health insuring corporation that issues or requires the use of a standardized identification card or an electronic technology for submission and routing of prescription drug claims pursuant to a policy, contract, […]
Effective: September 29, 2013 Latest Legislation: House Bill 59, House Bill 3 – 130th General Assembly (A)(1) No contractual periodic prepayment and no premium rate for nongroup and conversion policies for health care services, or any amendment to them, may be used by any health insuring corporation at any time until the contractual periodic prepayment […]
Effective: September 10, 2012 Latest Legislation: House Bill 487 – 129th General Assembly (A)(1)(a) A health insuring corporation shall, either directly or indirectly, enter into contracts for the provision of health care services with a sufficient number and types of providers and health care facilities to ensure that all covered health care services will be […]
Effective: October 12, 2016 Latest Legislation: House Bill 158 – 131st General Assembly (A) Notwithstanding section 3901.71 of the Revised Code, any policy, contract, or agreement for health care services authorized by this chapter that is issued, delivered, or renewed in this state and that provides that coverage of an unmarried dependent child will terminate […]
Effective: March 22, 1999 Latest Legislation: House Bill 698 – 122nd General Assembly A health insuring corporation shall provide coverage, in accordance with the terms of the contract, for a subscriber’s dependent children living outside the health insuring corporation’s approved service area if a court order requires the subscriber to provide health care coverage to […]
Effective: October 1, 2011 Latest Legislation: House Bill 153 – 129th General Assembly (A) Each health insuring corporation shall accept individuals for open enrollment coverage as provided in sections 3923.58 and 3923.581 of the Revised Code. A health insuring corporation may reinsure coverage of any individual acquired under those sections with the open enrollment reinsurance […]
Effective: October 16, 2009 Latest Legislation: House Bill 1 – 128th General Assembly (A) Except as provided in division (F) of this section, every group contract issued by a health insuring corporation shall provide an option for conversion to an individual contract issued on a direct-payment basis to any subscriber covered by the group contract […]
Effective: October 1, 2011 Latest Legislation: House Bill 153 – 129th General Assembly (A) As used in this section, “nongroup contract” means a contract issued by a health insuring corporation to an individual who makes direct application for coverage under the contract and who, if required by the health insuring corporation, submits to medical underwriting. […]
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly (A)(1) No health insuring corporation shall cancel or fail to renew the coverage of a subscriber or enrollee because of any health status-related factor in relation to the subscriber or enrollee, the subscriber’s or enrollee’s requirements for health care services, or for […]
Effective: October 16, 2009 Latest Legislation: House Bill 1 – 128th General Assembly (A) A health insuring corporation shall establish and maintain a complaint system that has been approved by the superintendent of insurance to provide adequate and reasonable procedures for the expeditious resolution of written complaints initiated by subscribers or enrollees concerning any matter […]
Effective: October 1, 2011 Latest Legislation: House Bill 153 – 129th General Assembly (A) No health insuring corporation, or agent, employee, or representative of a health insuring corporation, shall use any advertisement or solicitation document, or shall engage in any activity, that is unfair, untrue, misleading, or deceptive. (B) No health insuring corporation shall use […]
