Section 3924.07 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Ohio Health Reinsurance Program.
Effective: June 30, 1997 Latest Legislation: House Bill 374 – 122nd General Assembly (A) There is hereby established a nonprofit entity to be known as the “Ohio health reinsurance program.” Any carrier issuing health benefit plans in this state on or after April 14, 1993, may be a member of the program. (B) A carrier […]
Section 3924.08 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Board of Directors – Plan of Operation.
Effective: March 22, 1999 Latest Legislation: House Bill 698 – 122nd General Assembly (A) The board of directors of the Ohio health reinsurance program shall consist of nine appointed members who shall serve staggered terms as determined by the initial board for its members and by the plan of operation of the program for members […]
Section 3924.09 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] General and Specific Powers and Authority of Program.
Effective: May 26, 2010 Latest Legislation: House Bill 300 – 128th General Assembly The Ohio health reinsurance program shall have the general powers and authority granted under the laws of the state to insurance companies licensed to transact sickness and accident insurance, except the power to issue insurance. The board of directors of the program […]
Section 3924.10 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Recommendations Regarding, Analysis and Adoption of Ohc Plans.
Effective: September 29, 2011 Latest Legislation: House Bill 153 – 129th General Assembly (A) The board of directors of the Ohio health reinsurance program may make recommendations to the superintendent of insurance, and the superintendent may adopt or amend by rule adopted in accordance with Chapter 119. of the Revised Code, the OHC basic, standard, […]
Section 3924.11 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Reinsuring Small Employer Groups or Individuals.
Effective: March 22, 1999 Latest Legislation: House Bill 698 – 122nd General Assembly Any member of the Ohio health reinsurance program may reinsure small employer groups or individuals in accordance with the following conditions and limitations: (A) A small employer group or individual may be reinsured within sixty days after the commencement of the group’s […]
Section 3924.111 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Deductible Amount and Maximum Liability Amount.
Effective: June 30, 1997 Latest Legislation: House Bill 374 – 122nd General Assembly (A) The Ohio health reinsurance program shall not provide reinsurance for any individual reinsured under the program until five thousand dollars in benefit payments have been made by a member of the program for services provided to that individual during a calendar […]
Section 3924.12 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Premium Rates.
Effective: June 30, 1997 Latest Legislation: House Bill 374 – 122nd General Assembly (A) Except as provided in division (B) of this section, premium rates charged for coverage reinsured by the Ohio health reinsurance program shall be established as follows: (1) For whole group reinsurance coverage, one and one-half times the adjusted average market premium […]
Section 3924.031 | Carrier Offering Health Benefit Plan in Small Employer Market Through Network Plan.
Effective: June 30, 1997 Latest Legislation: House Bill 374 – 122nd General Assembly (A) As used in this section and section 3924.032 of the Revised Code: (1) “Health status-related factor” means any of the following: (a) Health status; (b) Medical condition, including both physical and mental illnesses; (c) Claims experience; (d) Receipt of health care; […]
Section 3924.032 | Refusing to Issue Plans in Small Employer Market.
Effective: June 30, 1997 Latest Legislation: House Bill 374 – 122nd General Assembly (A) A carrier may refuse to issue health benefit plans in the small employer market if the carrier has demonstrated both of the following to the superintendent of insurance: (1) The carrier does not have the financial reserves necessary to underwrite additional […]
Section 3924.01 | Small Employer Health Benefit Plans – Provision of Health Care Coverage Definitions.
Effective: March 23, 2015 Latest Legislation: House Bill 201 – 130th General Assembly As used in sections 3924.01 to 3924.14 of the Revised Code: (A) “Actuarial certification” means a written statement prepared by a member of the American academy of actuaries, or by any other person acceptable to the superintendent of insurance, that states that, […]