Ohio Revised Code (Last Updated: January 27, 2016) |
Title 17. XVII CORPORATIONS - PARTNERSHIPS |
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 |