Chapter 3923. SICKNESS AND ACCIDENT INSURANCE  


Section 3923.01. Policy of sickness and accident insurance defined
Section 3923.011. Sickness and accident insurance definitions
Section 3923.02. Form of policy filed with superintendent
Section 3923.021. Approval or disapproval of premium rates
Section 3923.022. Maximum aggregate administrative expenses
Section 3923.03. Necessary provisions
Section 3923.04. Policy standard provisions
Section 3923.041. [Repealed]
Section 3923.05. Provisions to conform to prescribed wording
Section 3923.06. Order of presentation of policy provisions
Section 3923.061. Interest on proceeds payable due to death by sickness or accident
Section 3923.07. Omission or substitution of provisions
Section 3923.071. Policies, applications, riders or indorsements issued prior to 10-1-53
Section 3923.08. Nonconflicting provisions permitted in policy
Section 3923.09. Validity of nonconforming policy
Section 3923.10. Industrial sickness and accident insurance
Section 3923.11. Sickness and accident insurance on a franchise plan
Section 3923.12. Group sickness and accident insurance
Section 3923.121. Association of insurers to provide basic medical coverage to persons 65 or older
Section 3923.122. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Option for conversion from group policy to individual policy
Section 3923.123. Association of insurers to provide group health coverage to qualified unemployed persons
Section 3923.13. Blanket sickness and accident insurance
Section 3923.14. False statement in application - alteration of written application
Section 3923.141. Agent of the insurer
Section 3923.15. Unfair discrimination prohibited
Section 3923.16. Misleading or deceptive advertising prohibited
Section 3923.161. Describing cancellability and renewability provisions clearly and with prominence or emphasis
Section 3923.17. Prohibition of rebates not to prohibit commissions or dividends
Section 3923.18. Rights of insurer in defense of claim not waived
Section 3923.19. Benefits exempt from legal process - exception
Section 3923.20. Exemptions for certain insurance policies
Section 3923.21. Prohibition against delivery of policy on disapproved insurance form
Section 3923.22. Appeal - applicability of administrative procedure sections
Section 3923.23. Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist
Section 3923.231. Reimbursement for services of licensed psychologist
Section 3923.232. Reimbursement for services of licensed dentist
Section 3923.233. Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician
Section 3923.234. Reimbursement for services of certified mechanotherapist
Section 3923.24. Continuing coverage for dependent children
Section 3923.241. Public employee benefit plans - continuing coverage for dependent children
Section 3923.25. Kidney dialysis benefits
Section 3923.26. Coverage for newly born children from the moment of birth
Section 3923.27. Hospitalization coverage for mental illness
Section 3923.28. Outpatient coverage for mental or emotional disorders
Section 3923.281. Sickness and accident policies - biologically based mental illness
Section 3923.282. Health coverage plans - biologically based mental illness
Section 3923.29. Outpatient, inpatient, and intermediate primary care benefits for alcoholism
Section 3923.30. Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism
Section 3923.301. Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician
Section 3923.31. Right to rescind individual policy of sickness and accident insurance
Section 3923.32. Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber
Section 3923.33. Medicare supplement policy definitions
Section 3923.331. Statutes applicable to medicare supplement policies
Section 3923.332. Standards for policy provisions of medicare supplement policies and certificates
Section 3923.333. Benefits to be reasonable in relation to premium charged
Section 3923.334. Outline of coverage delivered at time application is made
Section 3923.335. Right to return policy or certificate and have premium refunded
Section 3923.336. Review and approval of advertisement by superintendent
Section 3923.337. Rules
Section 3923.338. Orders of superintendent
Section 3923.339. Severability
Section 3923.36. Excluding coverage of illness or injury covered by workers' compensation
Section 3923.37. Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy
Section 3923.38. Continuing policy upon termination of employment
Section 3923.381. Continuing coverage under group policy when reservist is called or ordered to active duty
Section 3923.382. Continuing coverage under group plan when reservist is called or ordered to active duty
Section 3923.39. Consolidated corporation cancelling individual policy for nonpayment
Section 3923.40. Coverage of adopted children
Section 3923.41. Long-term care insurance definitions
Section 3923.42. Citing provisions - applicability
Section 3923.43. Evidence to be filed by long-term care insurance association
Section 3923.44. Standards for full and fair disclosure for sale of long-term care insurance policies
Section 3923.441. Rescission of long-term care policy for misrepresentation
Section 3923.442. Offer of nonforfeiture benefit option with long-term care policy
Section 3923.443. Training required for agents selling long-term care policies
Section 3923.444. Compensation of agents selling long-term care policies
Section 3923.45. Forms
Section 3923.46. Rates for individual policy
Section 3923.47. Rules
Section 3923.48. Violation is unfair and deceptive insurance practice
Section 3923.49. Establishing outreach program to educate consumers
Section 3923.50. Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements
Section 3923.51. Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families
Section 3923.52. Screening mammography and cytologic screening benefits
Section 3923.53. Public employee benefit plan
Section 3923.54. Employee health care benefit plan
Section 3923.55. Policy to include benefits for child health supervision services from moment of birth until age nine
Section 3923.56. Plan to include benefits for child health supervision services from moment of birth until age nine
Section 3923.57. Pre-existing conditions provisions
Section 3923.571. Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan
Section 3923.58. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Open enrollment coverage - insurers in the business of issuing individual policies of sickness and accident insurance
Section 3923.581. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Open enrollment coverage - carriers in the business of issuing health benefit plans to individuals or nonemployer groups
Section 3923.582. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Open enrollment coverage - responsibilities of superintendent of insurance
Section 3923.59. [Suspended eff. 1/1/2014 through 1/1/2018; See Note] Open enrollment reinsurance program
Section 3923.60. Standard medical reference compendia for coverage of prescription drugs
Section 3923.601. Standardized prescription identification information - pharmacy benefits to be included
Section 3923.61. Public employee benefit plans - prescription drugs
Section 3923.62. Disclosing determination of usual and customary fee for dental benefits
Section 3923.63. Coverage of inpatient care and follow-up care for mother and her newborn
Section 3923.64. Public employee benefit plans - maternity benefits
Section 3923.65. Coverage for emergency services
Section 3923.651. [Repealed]
Section 3923.66. [Repealed]
Section 3923.67. [Repealed]
Section 3923.68. [Repealed]
Section 3923.681. [Repealed]
Section 3923.69. [Repealed]
Section 3923.70. [Repealed]
Section 3923.75. [Repealed]
Section 3923.76. [Repealed]
Section 3923.77. [Repealed]
Section 3923.78. [Repealed]
Section 3923.79. [Repealed]
Section 3923.80. Denial of coverage to cancer clinical trial participant
Section 3923.81. Covered person's payments not to exceed insurer payments
Section 3923.82. Coverage for alcohol or drug related losses or expenses
Section 3923.83. Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan
Section 3923.85. Cancer medication; coverage for orally and intravenously administered treatments
Section 3923.90. [Repealed]
Section 3923.91. [Repealed]
Section 3923.99. Penalty