Effective: January 1, 2021 Latest Legislation: House Bill 339 – 133rd General Assembly As used in this chapter: (A) “Administration fees” means any amount charged a covered person for services rendered. “Administration fees” includes commissions earned or paid by any person relative to services performed by an administrator. (B) “Administrator” means any person who adjusts […]
Effective: December 2, 1996 Latest Legislation: House Bill 670 – 121st General Assembly (A) Administrators may be tested and shall be licensed by the superintendent of insurance in accordance with rules adopted by the superintendent. (B) An administrator who has been licensed or certified by the state of the administrator’s domicile under a statute or […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly No person shall solicit a plan or sponsor of a plan to act as an administrator for, or provide administrative services to, a plan or sponsor of a plan that is either domiciled in this state or has its principal headquarters or […]
Effective: December 2, 1996 Latest Legislation: House Bill 670 – 121st General Assembly (A) An administrator shall file with the superintendent of insurance an application for a license on a form prescribed by the superintendent. (B) All applications for a license shall be accompanied by a nonrefundable filing fee of two hundred dollars per application […]
Effective: December 2, 1996 Latest Legislation: House Bill 670 – 121st General Assembly The superintendent of insurance shall act on all applications submitted for a license within thirty days after receipt.
Effective: December 2, 1996 Latest Legislation: House Bill 670 – 121st General Assembly If the superintendent of insurance denies the application for license, the superintendent shall promptly notify the applicant of the denial and the reasons for the denial within thirty days of the date the application is denied by the superintendent. The notice shall […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly Upon approval of the application for an administrators license and payment of appropriate filing fees, the applicant shall be granted a license by the superintendent of insurance and an appropriate certificate of authority to operate as an administrator will be issued to […]
Effective: December 2, 1996 Latest Legislation: House Bill 670 – 121st General Assembly (A) The superintendent of insurance shall, at least sixty days before the expiration of the administrators license granted by the superintendent, provide a renewal notice on a form approved by the superintendent. (B) The renewal application shall require the payment of a […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly (A) No person may act as an administrator without a written agreement between the administrator and the plan sponsor. Such written agreement shall be retained as part of the official records of the administrator for the duration of the agreement and for […]
Effective: April 6, 2017 Latest Legislation: Senate Bill 319 – 131st General Assembly (A)(1)(a) In each contract between a pharmacy benefit manager and a pharmacy, the pharmacy shall be given the right to obtain from the pharmacy benefit manager, within ten days after any request, a current list of the sources used to determine maximum […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) Any license issued under sections 3959.01 to 3959.16 of the Revised Code may be suspended for a period not to exceed two years, revoked, or not renewed by the superintendent of insurance after notice to the licensee and hearing in accordance […]
Effective: January 1, 2004 Latest Legislation: House Bill 490 – 124th General Assembly Any person who, while licensed as an administrator, is convicted of a felony, shall report the conviction to the superintendent of insurance within thirty days of the entry date of the judgment of conviction. Within that thirty-day period, the person shall also […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly No administrator shall do any of the following: (A) Use plan sponsor funds for any purpose or purposes not specifically set forth in written form by the administrator; (B) Fail to disclose in written solicitation material and on an on-going basis, at […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly (A) Administrators shall maintain detailed books and records that reflect all administered transactions specifically in regard to premiums or contributions received and deposited and claims and authorized expenses paid. (B) The detailed preparation, journalizing, and posting of such books and records shall […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly Sections 3959.01 to 3959.16 of the Revised Code do not apply to an employer’s self-insurance plan to the extent that federal law supersedes, preempts, prohibits, or otherwise precludes the application of any provisions of those sections to such plan.
Effective: March 22, 2001 Latest Legislation: Senate Bill 180 – 123rd General Assembly On receipt of a notice pursuant to section 3123.43 of the Revised Code, the superintendent of insurance shall comply with sections 3123.41 to 3123.50 of the Revised Code and any applicable rules adopted under section 3123.63 of the Revised Code with respect […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) As used in this section: (1) “Cost-sharing” means the cost to an individual insured 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” and […]
Effective: May 18, 1988 Latest Legislation: House Bill 284 – 117th General Assembly A person who violates section 3959.05 of the Revised Code is guilty of a misdemeanor of the fourth degree.
