Chapter 1751. HEALTH INSURING CORPORATION LAW  


Section 1751.01. Health insuring corporation law definitions
Section 1751.02. Applying for certificate of authority
Section 1751.03. Verification of application
Section 1751.04. Review of application and documents by superintendent
Section 1751.05. Issuance or denial of certificate of authority
Section 1751.06. Powers upon obtaining certificate
Section 1751.07. Responsibility for funds
Section 1751.08. Inapplicability of insurance laws
Section 1751.11. Evidence of coverage
Section 1751.111. Standardized prescription identification information - pharmacy benefits to be included
Section 1751.12. Contractual periodic prepayment or premium rate
Section 1751.13. Contracts with providers and health care facilities
Section 1751.14. Termination of coverage of child
Section 1751.141. Dependent children living outside health insuring corporation's approved service area
Section 1751.15. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Annual open enrollment period
Section 1751.16. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Option for conversion from group to individual contract
Section 1751.17. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Option for conversion to a contract issued on a direct-payment basis
Section 1751.18. Cancelling or failing to renew coverage
Section 1751.19. Complaint system
Section 1751.20. Unfair, untrue, misleading, or deceptive acts
Section 1751.21. Peer review committee
Section 1751.25. Investment of funds
Section 1751.26. Investments in real estate
Section 1751.27. Deposit of securities with superintendent or custodian
Section 1751.271. Medicaid providers - performance bond
Section 1751.28. Admitted assets held in corporation's name and free and clear of encumbrances, pledges, or hypothecation
Section 1751.31. Changes in corporation's solicitation document
Section 1751.32. Annual report
Section 1751.321. Audit report filed annually
Section 1751.33. Information to be provided to subscribers
Section 1751.34. Examinations by superintendent and director
Section 1751.35. Suspension or revocation of certificate of authority
Section 1751.36. Notification of grounds for denial, suspension or revocation of certificate - hearing
Section 1751.38. Applicability of other laws
Section 1751.40. Insurance companies operating as health insuring corporations
Section 1751.42. Rehabilitation, liquidation, supervision or conservation of corporation
Section 1751.44. Fees paid to superintendent of insurance
Section 1751.45. Administrative penalties - violations
Section 1751.46. Recommendations for expansion of service areas
Section 1751.47. Adopting forms, instructions and manuals for providing financial information
Section 1751.48. Rules
Section 1751.51. Restrictions on choice of providers
Section 1751.52. Confidentiality of information
Section 1751.521. Medical information release
Section 1751.53. Continuing coverage after termination of employment
Section 1751.54. Continuing coverage after reservist called to duty
Section 1751.55. Effect of workers compensation coverage
Section 1751.56. Effect of supplemental sickness and accident insurance policy
Section 1751.57. Conditions applying to all individual health insuring corporation contracts
Section 1751.58. Conditions applying to all group health insuring corporation contracts sold in connection with employment-related group health care plan
Section 1751.59. Coverage of adopted children
Section 1751.60. Provider or facility limited to seek compensation for covered services solely from HIC
Section 1751.61. Coverage for newly born child
Section 1751.62. Screening mammography - cytologic screening for cervical cancer
Section 1751.63. Long-term care insurance
Section 1751.64. [Repealed]
Section 1751.65. Health insuring corporation - prohibited activities
Section 1751.66. Prescription drugs
Section 1751.67. Maternity benefits
Section 1751.68. [Repealed]
Section 1751.69. Cancer chemotherapy; coverage for orally and intravenously administered treatments
Section 1751.70. Authorization of payroll deductions for public employees
Section 1751.71. Accepting payments for cost of policies, contracts, and agreements
Section 1751.73. Implementing quality assurance programs
Section 1751.74. Quality assurance program requirements
Section 1751.75. Determination that accreditation constitutes compliance
Section 1751.77. Utilization review, internal and external review procedure definitions
Section 1751.78. Application of provisions
Section 1751.79. Utilization review program requirements
Section 1751.80. Implementing utilization review programs
Section 1751.81. Maintaining written procedures for determining whether requested service is covered
Section 1751.811. Internal and external reviews
Section 1751.82. Reconsideration of adverse determination
Section 1751.821. Determination that accreditation constitutes compliance
Section 1751.822. Cooperation with utilization review program
Section 1751.823. Filing certificate of compliance
Section 1751.83. Maintaining internal review system
Section 1751.831. [Repealed]
Section 1751.84. [Repealed]
Section 1751.85. [Repealed]
Section 1751.86. Violation deemed unfair and deceptive act or practice
Section 1751.87. Cause of action not created
Section 1751.88. [Repealed]
Section 1751.89. Medicare and medicaid exceptions