Section 3902.30 | Coverage for Telehealth Services.
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,” […]
Section 3902.31 | Void Contracts.
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 […]
Section 3902.36 | Compliance With Federal Mental Health and Addiction Parity Laws.
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 […]
Section 3902.03 | Policies to Which Sections Apply – Exceptions – Non-English Language Policies.
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 […]
Section 3902.50 | Definitions for r.c. 3902.50 to 3902.72.
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) […]
Section 3902.04 | Requirements for Policy Forms.
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 […]
Section 3902.51 | Out-of-Network Care Reimbursement Requirement, Negotiations.
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 […]
Section 3902.05 | Construction.
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.
Section 3902.52 | Out-of-Network Care Arbitration.
Effective: April 12, 2021 Latest Legislation: House Bill 388 – 133rd General Assembly (A)(1) If a negotiation undertaken pursuant to division (B)(2) of section 3902.51 of the Revised Code has not successfully concluded within thirty days, or if both parties agree that they are at an impasse, the provider, facility, emergency facility, or ambulance may […]
Section 3902.06 | Superintendent May Authorize Lower Test Score.
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: […]