Effective: June 4, 1997 Latest Legislation: Senate Bill 67 – 122nd General Assembly (A) The purpose of sections 3902.01 to 3902.08 of the Revised Code is to establish minimum standards for language used in policies and certificates of life insurance and annuities, credit life insurance and credit disability insurance, and sickness and accident insurance, and […]
Effective: June 4, 1997 Latest Legislation: Senate Bill 67 – 122nd General Assembly As used in sections 3902.01 to 3902.08 of the Revised Code: (A) “Policy” or “policy form” means any policy, contract, plan or agreement of life insurance and annuities, credit life insurance and credit disability insurance, and sickness and accident insurance, and subscriber […]
Effective: January 9, 1980 Latest Legislation: Senate Bill 92 – 113th General Assembly (A) Sections 3902.01 to 3902.08 of the Revised Code apply to all policies delivered or issued for delivery in this state by any company on or after the date such forms must be approved under sections 3902.01 to 3902.08 of the Revised […]
Effective: January 9, 1980 Latest Legislation: Senate Bill 92 – 113th General Assembly (A) No policy forms, except as stated in section 3902.03 of the Revised Code, shall be delivered or issued for delivery in this state on or after the dates such forms must be approved under sections 3902.01 to 3902.08 of the Revised […]
Effective: January 9, 1980 Latest Legislation: Senate Bill 92 – 113th General Assembly Nothing in sections 3902.01 to 3902.08 of the Revised Code shall be construed to negate any law of this state permitting the issuance of any policy form after it has been on file for the time period specified.
Effective: January 9, 1980 Latest Legislation: Senate Bill 92 – 113th General Assembly The superintendent of insurance may authorize a lower score than the Flesch reading ease score required in division (A)(1) of section 3902.04 of the Revised Code whenever, in his discretion, he finds that a lower score meets any of the following conditions: […]
Effective: January 9, 1980 Latest Legislation: Senate Bill 92 – 113th General Assembly A policy form meeting the requirements of section 3902.04 of the Revised Code shall be approved notwithstanding the provisions of any other laws that specify the content of policies, if the policy form provides the policyholders and claimants protection not less favorable […]
Effective: January 1, 2021 Latest Legislation: House Bill 339 – 133rd General Assembly (A) Except as provided in section 3902.03 of the Revised Code, sections 3902.01 to 3902.08 of the Revised Code apply to all policy forms filed on or after January 9, 1983. No policy form shall be delivered or issued for delivery in […]
Effective: July 24, 2002 Latest Legislation: Senate Bill 4 – 124th General Assembly As used in sections 3902.11 to 3902.14 of the Revised Code: (A) “Beneficiary” and “third-party payer” have the same meanings as in section 3901.38 of the Revised Code. (B) “Plan of health coverage” means any of the following if the policy, contract, […]
Effective: June 29, 1988 Latest Legislation: Senate Bill 169 – 117th General Assembly When a plan of health coverage is primary, its benefits are paid without regard to the benefits of another plan. When a plan of health coverage is secondary, its benefits are determined by taking into consideration the payments made or to be […]
Effective: June 4, 1997 Latest Legislation: Senate Bill 67 – 122nd General Assembly (A) A plan of health coverage determines its order of benefits using the first of the following that applies: (1) A plan that does not coordinate with other plans is always the primary plan. (2) The benefits of the plan that covers […]
Effective: June 29, 1988 Latest Legislation: Senate Bill 169 – 117th General Assembly The superintendent of insurance may, pursuant to Chapter 119. of the Revised Code, adopt rules to carry out the purposes of sections 3902.11 to 3902.14 of the Revised Code.
Effective: July 24, 2002 Latest Legislation: Senate Bill 4 – 124th General Assembly As used in sections 3902.22 and 3902.23 of the Revised Code, “third-party payer” has the same meaning as in section 3901.38 of the Revised Code.
Effective: April 6, 2007 Latest Legislation: House Bill 403 – 126th General Assembly The superintendent of insurance shall develop a standard claim form to be used by all third-party payers and providers for reimbursement of health care services and supplies, taking into consideration the special needs of, and differences between, third-party payers. The standard claim […]
Effective: July 24, 2002 Latest Legislation: Senate Bill 4 – 124th General Assembly Beginning one hundred eighty days after rules adopted under section 3902.22 of the Revised Code take effect, no third-party payer shall fail to use the standard claim form prescribed in those rules.
Effective: March 23, 2022 Latest Legislation: House Bill 122 – 134th General Assembly (A) As used in this section: (1) “Cost sharing” means the cost to a covered individual 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,” […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) As used in this section: (1) “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 […]
Effective: March 24, 2021 Latest Legislation: Senate Bill 284 – 133rd General Assembly (A) As used in this section: (1) “Health benefit plan” and “health plan issuer” have the same meanings as in section 3922.01 of the Revised Code. (2) “Mental Health Parity and Addiction Equity Act” means the federal “Paul Wellstone and Pete Domenici […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly As used in sections 3902.50 to 3902.72 of the Revised Code: (A) “Ambulance” has the same meaning as in section 4765.01 of the Revised Code. (B) “Clinical laboratory services” has the same meaning as in section 4731.65 of the Revised Code. (C) […]
Effective: April 12, 2021 Latest Legislation: House Bill 388 – 133rd General Assembly (A)(1)(a) A health plan issuer shall reimburse an out-of-network provider for unanticipated out-of-network care when both of the following apply: (i) The services are provided to a covered person at an in-network facility. (ii) The services would be covered if provided by […]
