Section 3902.13 | Order of Benefits for Health Coverage Plan.
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 […]
Section 3902.14 | Rules.
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.
Section 3902.21 | Standard Claim Form Definitions.
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.
Section 3902.22 | Superintendent to Develop Standard Claim Form.
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 […]
Section 3902.23 | Use of Form Mandatory.
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.
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) […]