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Ohio Statutes, Title 17

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Title 17, Title 17. Corporations-Partnerships

41 chapters · 1,271 sections in this title.

All chapters in Title 171,271 Ch 1701, Chapter 1701 | General Corporation Law118 Ch 1706, Chapter 1706 | Ohio Revised Limited …92 Ch 1751, Chapter 1751 | Health Insuring Corpo…83 Ch 1707, Chapter 1707 | Securities77 Ch 1733, Chapter 1733 | Credit Unions77 Ch 1782, Chapter 1782 | Limited Partnerships76 Ch 1776, Chapter 1776 | Ohio Uniform Partners…73 Ch 1702, Chapter 1702 | Nonprofit Corporation Law67 Ch 1745, Chapter 1745 | Uniform Unincorporate…54 Ch 1729, Chapter 1729 | Ohio Cooperative Law53 Ch 1715, Chapter 1715 | Religious And Benevol…52 Ch 1713, Chapter 1713 | Educational Corporations50 Ch 1711, Chapter 1711 | Agricultural Societie…40 Ch 1703, Chapter 1703 | Foreign Corporations30

83 sections·Filtered byTitle 17✕Ch 1751✕

Ohio Rev. Code Ann. § 1751.01 Health insuring corporation law definitions
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As used in this chapter: (A)(1) "Basic health care services" means the following services when medically necessary: (a) Physician's services, except when such services are supplemental under division (B) of this section; (b) Inpatient hospital services; (c) Outpatient medical ser…
Ohio Rev. Code Ann. § 1751.02 Applying for certificate of authority
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(A) Notwithstanding any law in this state to the contrary, any corporation, as defined in section 1751.01 of the Revised Code, may apply to the superintendent of insurance for a certificate of authority to establish and operate a health insuring corporation. If the corporation ap…
Ohio Rev. Code Ann. § 1751.03 Verification of application
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(A) Each application for a certificate of authority under this chapter shall be verified by an officer or authorized representative of the applicant, shall be in a format prescribed by the superintendent of insurance, and shall set forth or be accompanied by the following: (1) A …
Ohio Rev. Code Ann. § 1751.04 Review of application and documents by superintendent
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(A) Except as provided by division (D) of this section, upon the receipt by the superintendent of insurance of a complete application for a certificate of authority to establish or operate a health insuring corporation, which application sets forth or is accompanied by the inform…

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Ohio Rev. Code Ann. § 1751.05 Issuance or denial of certificate of authority

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(A) The superintendent of insurance shall issue or deny a certificate of authority to a health insuring corporation filing an application pursuant to section 1751.03 of the Revised Code, one hundred thirty-five days from the superintendent's receipt of a complete application and …

Ohio Rev. Code Ann. § 1751.06 Powers upon obtaining certificate

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Upon obtaining a certificate of authority as required under this chapter, a health insuring corporation may do all of the following:(A) Enroll individuals and their dependents in either of the following circumstances:(1) The individual resides or lives in the approved service are…

Ohio Rev. Code Ann. § 1751.07 Responsibility for funds

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Any trustee, director, officer, or employee of a health insuring corporation who receives, collects, disburses, or invests funds in connection with the activities of the health insuring corporation shall be responsible for such funds in a fiduciary relationship to the corporation…

Ohio Rev. Code Ann. § 1751.08 Inapplicability of insurance laws

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(A) Except as otherwise specifically provided in this chapter or Title XXXIX of the Revised Code, provisions of Title XXXIX of the Revised Code shall not be applicable to any health insuring corporation holding a certificate of authority under this chapter. This division shall no…

Ohio Rev. Code Ann. § 1751.11 Evidence of coverage

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(A) Every subscriber of a health insuring corporation is entitled to an evidence of coverage for the health care plan under which health care benefits are provided. (B) Every subscriber of a health insuring corporation that offers basic health care services is entitled to an iden…

Ohio Rev. Code Ann. § 1751.111 Standardized prescription identification information - pharmacy benefits to be included

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(A)(1) This section applies to both of the following: (a) A health insuring corporation that issues or requires the use of a standardized identification card or an electronic technology for submission and routing of prescription drug claims pursuant to a policy, contract, or agre…

Ohio Rev. Code Ann. § 1751.12 Contractual periodic prepayment or premium rate

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(A)(1) No contractual periodic prepayment and no premium rate for nongroup and conversion policies for health care services, or any amendment to them, may be used by any health insuring corporation at any time until the contractual periodic prepayment and premium rate, or amendme…

Ohio Rev. Code Ann. § 1751.13 Contracts with providers and health care facilities

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(A)(1)(a) A health insuring corporation shall, either directly or indirectly, enter into contracts for the provision of health care services with a sufficient number and types of providers and health care facilities to ensure that all covered health care services will be accessib…

Ohio Rev. Code Ann. § 1751.14 Termination of coverage of child

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(A) Notwithstanding section 3901.71 of the Revised Code, any policy, contract, or agreement for health care services authorized by this chapter that is issued, delivered, or renewed in this state and that provides that coverage of an unmarried dependent child will terminate upon …

Ohio Rev. Code Ann. § 1751.141 Dependent children living outside health insuring corporation's approved service area

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A health insuring corporation shall provide coverage, in accordance with the terms of the contract, for a subscriber's dependent children living outside the health insuring corporation's approved service area if a court order requires the subscriber to provide health care coverag…

Ohio Rev. Code Ann. § 1751.18 Cancelling or failing to renew coverage

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(A)(1) No health insuring corporation shall cancel or fail to renew the coverage of a subscriber or enrollee because of any health status-related factor in relation to the subscriber or enrollee, the subscriber's or enrollee's requirements for health care services, or for any oth…

Ohio Rev. Code Ann. § 1751.19 Complaint system

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(A) A health insuring corporation shall establish and maintain a complaint system that has been approved by the superintendent of insurance to provide adequate and reasonable procedures for the expeditious resolution of written complaints initiated by subscribers or enrollees con…

Ohio Rev. Code Ann. § 1751.20 Unfair, untrue, misleading, or deceptive acts

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(A) No health insuring corporation, or agent, employee, or representative of a health insuring corporation, shall use any advertisement or solicitation document, or shall engage in any activity, that is unfair, untrue, misleading, or deceptive. (B) No health insuring corporation …

Ohio Rev. Code Ann. § 1751.21 Peer review committee

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(A) A peer review committee of a hospital or other health care facility or provider, or of an intermediary organization or health delivery network, with which a health insuring corporation has a contract for health care services may provide to a peer review committee of the healt…

Ohio Rev. Code Ann. § 1751.25 Investment of funds

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(A) Except as provided in division (B) of this section, the funds of a health insuring corporation shall be invested only in securities or other investments or assets that constitute permissible investments under section 1751.26 or 3925.08 of the Revised Code. (B) A health insuri…

Ohio Rev. Code Ann. § 1751.26 Investments in real estate

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(A) For purposes of this section, real estate used for "the accommodation of the health insuring corporation's business operations" includes the health insuring corporation's home office, branch office, medical facilities, and field office operations.(B) No health insuring corpor…

Ohio Rev. Code Ann. § 1751.27 Deposit of securities with superintendent or custodian

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(A) Each health insuring corporation holding a certificate of authority to operate in this state shall have deposited securities with the superintendent of insurance or an approved custodian in the amount required by this division.(1) Each health insuring corporation authorized t…

Ohio Rev. Code Ann. § 1751.271 Medicaid providers - performance bond

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(A) Each health insuring corporation that provides coverage to medicaid recipients shall post a performance bond in the amount of three million dollars as security to fulfill the obligations of the health insuring corporation to pay claims of contracted providers for covered heal…

Ohio Rev. Code Ann. § 1751.28 Admitted assets held in corporation's name and free and clear of encumbrances, pledges, or hypothecation

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(A)(1) Every health insuring corporation authorized to provide basic health care services, which health insuring corporation is not a provider sponsored organization, shall maintain total admitted assets equal to at least one hundred ten per cent of the liabilities of the corpora…

Ohio Rev. Code Ann. § 1751.31 Changes in corporation's solicitation document

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(A) Any changes in a health insuring corporation's solicitation document shall be filed with the superintendent of insurance thirty days prior to use for informational purposes, and shall comply with the requirements of this section. If the superintendent finds that any solicitat…

Ohio Rev. Code Ann. § 1751.32 Annual report

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Each health insuring corporation, annually, on or before the first day of March, shall file a report with the superintendent of insurance, covering the preceding calendar year. The report shall be verified by an officer of the health insuring corporation, shall be in the form the…

Ohio Rev. Code Ann. § 1751.321 Audit report filed annually

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Each health insuring corporation, annually, on or before the first day of June, shall file with the superintendent of insurance an audit report certified by an independent certified public accountant covering the preceding calendar year. The report shall be verified by an officer…

Ohio Rev. Code Ann. § 1751.33 Information to be provided to subscribers

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(A) Each health insuring corporation shall provide to its subscribers a description of the health insuring corporation, its method of operation, its service area, its most recent provider list, its complaint procedure established pursuant to section 1751.19 of the Revised Code, a…

Ohio Rev. Code Ann. § 1751.34 Examinations by superintendent and director

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(A) Each health insuring corporation and each applicant for a certificate of authority under this chapter shall be subject to examination by the superintendent of insurance in accordance with section 3901.07 of the Revised Code. Section 3901.07 of the Revised Code shall govern ev…

Ohio Rev. Code Ann. § 1751.35 Suspension or revocation of certificate of authority

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(A) The superintendent of insurance may suspend or revoke any certificate of authority issued to a health insuring corporation under this chapter if the superintendent finds that: (1) The health insuring corporation is operating in contravention of its articles of incorporation, …

Ohio Rev. Code Ann. § 1751.36 Notification of grounds for denial, suspension or revocation of certificate - hearing

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(A) When the superintendent of insurance has cause to believe that grounds for the denial of an application for a certificate of authority exist, or that grounds for the suspension or revocation of a certificate of authority exist, the superintendent shall notify the applicant or…

Ohio Rev. Code Ann. § 1751.38 Applicability of other laws

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(A) As used in this section, "agent" means a person appointed by a health insuring corporation to engage in the solicitation or enrollment of subscribers or enrollees.(B) Agents of health insuring corporations shall be licensed as insurance agents in accordance with Chapter 3905.…

Ohio Rev. Code Ann. § 1751.40 Insurance companies operating as health insuring corporations

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(A) Notwithstanding any provision of Title XXXIX of the Revised Code, any insurance company holding a certificate of authority issued pursuant to Title XXXIX of the Revised Code, or any corporation that is a subsidiary or affiliate of the insurance company, may apply for and obta…

Ohio Rev. Code Ann. § 1751.42 Rehabilitation, liquidation, supervision or conservation of corporation

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Any rehabilitation, liquidation, supervision, or conservation of a health insuring corporation shall be deemed to be the rehabilitation, liquidation, supervision, or conservation of an insurance company and shall be conducted under the supervision of the superintendent of insuran…

Ohio Rev. Code Ann. § 1751.44 Fees paid to superintendent of insurance

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(A) Each health insuring corporation shall pay to the superintendent of insurance the following fees:(1) For filing an application for a certificate of authority, fifteen hundred dollars;(2) For filing a request for a service area expansion under section 1751.03 of the Revised Co…

Ohio Rev. Code Ann. § 1751.45 Administrative penalties - violations

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(A) In lieu of the suspension or revocation of a certificate of authority under section 1751.35 of the Revised Code, the superintendent of insurance, pursuant to an adjudication hearing initiated and conducted in accordance with Chapter 119. of the Revised Code, or by consent of …

Ohio Rev. Code Ann. § 1751.46 Recommendations for expansion of service areas

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(A) The superintendent of insurance may contract with qualified persons to make recommendations concerning the determinations required to be made by the superintendent relative to an expansion of a service area pursuant to division (C) of section 1751.03 of the Revised Code, an a…

Ohio Rev. Code Ann. § 1751.47 Adopting forms, instructions and manuals for providing financial information

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(A) The superintendent of insurance shall adopt the forms, instructions, and manuals prescribed by the national association of insurance commissioners for the preparation and filing of statutory financial statements and other financial information. However, the superintendent may…

Ohio Rev. Code Ann. § 1751.48 Rules

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The superintendent of insurance may adopt rules as are necessary to carry out the provisions of this chapter. These rules shall be adopted in accordance with Chapter 119. of the Revised Code.

Ohio Rev. Code Ann. § 1751.51 Restrictions on choice of providers

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If a health care plan of a health insuring corporation covers health care services that may be legally performed by a class of providers referred to in section 3923.23 or 3923.231 of the Revised Code but would restrict an enrollee's ability to receive these health care services f…

Ohio Rev. Code Ann. § 1751.52 Confidentiality of information

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(A) All applications, filings, and reports required under this chapter shall be treated as public documents after the date the application, filing, or report becomes effective, regardless of the application of the Uniform Trade Secrets Act set forth in sections 1333.61 to 1333.69…

Ohio Rev. Code Ann. § 1751.521 Medical information release

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If an enrollee signs a medical information release upon the request of a health insuring corporation, the release shall clearly explain what information may be disclosed under the terms of the release. If a health insuring corporation utilizes this release to request medical info…

Ohio Rev. Code Ann. § 1751.53 Continuing coverage after termination of employment

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(A) As used in this section: (1) "Group contract" means a group health insuring corporation contract covering employees that meets either of the following conditions:(a) The contract was issued by an entity that, on June 4, 1997, holds a certificate of authority or license to ope…

Ohio Rev. Code Ann. § 1751.54 Continuing coverage after reservist called to duty

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(A) As used in this section:(1) "Eligible person" means any person who, at the time a reservist is called or ordered to active duty, is covered under a group contract and is either of the following:(a) An employee who is a reservist called or ordered to active duty;(b) The spouse…

Ohio Rev. Code Ann. § 1751.55 Effect of workers compensation coverage

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A health insuring corporation policy, contract, or agreement shall not be construed to exclude illness or injury upon the ground that the subscriber might have elected to have such illness or injury covered by workers' compensation under Chapter 4123. of the Revised Code unless t…

Ohio Rev. Code Ann. § 1751.56 Effect of supplemental sickness and accident insurance policy

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(A) No individual or group health insuring corporation policy, contract, or agreement shall be delivered, issued for delivery, or renewed in this state, if the policy, contract, or agreement excludes or reduces the benefits payable to or on behalf of an insured because benefits a…

Ohio Rev. Code Ann. § 1751.57 Conditions applying to all individual health insuring corporation contracts

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(A) The following conditions apply to all individual health insuring corporation contracts:(1) Except as provided in section 2742(b) to (e) of the "Health Insurance Portability and Accountability Act of 1996," Pub. L. No. 104-191, 110 Stat. 1955, 42 U.S.C.A. 300gg-42, as amended,…

Ohio Rev. Code Ann. § 1751.58 Conditions applying to all group health insuring corporation contracts sold in connection with employment-related group health care plan

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Except as otherwise provided in section 2721 of the "Health Insurance Portability and Accountability Act of 1996," Pub. L. No. 104-191, 110 Stat. 1955, 42 U.S.C.A. 300gg-21, as amended, the following conditions apply to all group health insuring corporation contracts that are sol…

Ohio Rev. Code Ann. § 1751.59 Coverage of adopted children

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No individual or group health insuring corporation policy, contract, or agreement that makes family coverage available may be delivered, issued for delivery, or renewed in this state, unless the policy, contract, or agreement covers adopted children of the subscriber on the same …

Ohio Rev. Code Ann. § 1751.60 Provider or facility limited to seek compensation for covered services solely from HIC

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(A) Except as provided for in divisions (E) and (F) of this section, every provider or health care facility that contracts with a health insuring corporation to provide health care services to the health insuring corporation's enrollees or subscribers shall seek compensation for …

Ohio Rev. Code Ann. § 1751.61 Coverage for newly born child

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(A) Each individual or group evidence of coverage that is delivered, issued for delivery, or renewed by a health insuring corporation in this state, and that makes coverage available for family members of a subscriber, also shall provide that coverage applicable to children is pa…