Ohio Revised Code (Last Updated: January 27, 2016) |
Title 39. XXXIX INSURANCE |
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 [Repealed] |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 |