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Ohio Statutes, Title 39

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Ohio/Statutes

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Title 39, Title 39. Insurance

43 chapters · 1,367 sections in this title.

All chapters in Title 391,367 Ch 3901, Chapter 3901 | Superintendent Of Ins…150 Ch 3905, Chapter 3905 | Insurance Producers L…123 Ch 3923, Chapter 3923 | Sickness And Accident…109 Ch 3903, Chapter 3903 | Reserve Valuation; Re…92 Ch 3929, Chapter 3929 | Domestic And Foreign …77 Ch 3941, Chapter 3941 | Operation Of Mutual I…51 Ch 3937, Chapter 3937 | Casualty Insurance; M…50 Ch 3921, Chapter 3921 | Fraternal Benefit Soc…43 Ch 3919, Chapter 3919 | Mutual Protective Ins…40 Ch 3925, Chapter 3925 | Domestic Insurance Co…36 Ch 3953, Chapter 3953 | Title Insurance36 Ch 3924, Chapter 3924 | Small Employer Health…33 Ch 3964, Chapter 3964 | Captive Insurance Com…33 Ch 3902, Chapter 3902 | Insurance Policies An…32

1,367 sections·Filtered byTitle 39✕

Ohio Rev. Code Ann. § 3901.47 Administration of claims unpaid due to insolvency of insurer
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(A) As used in this section:(1) "Insurer" means any insurer authorized to write life or sickness and accident insurance in this state under Title XXXIX of the Revised Code.(2) "Insolvent insurer" means any of the following:(a) Farm and ranch life insurance company, domiciled in t…
Ohio Rev. Code Ann. § 3901.48 Disclosing work papers resulting from conduct of audit
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(A) The original work papers of a certified public accountant performing an audit of an insurance company or health insuring corporation doing business in this state that is required by rule or by any section of the Revised Code to file an audited financial report with the superi…
Ohio Rev. Code Ann. § 3901.491 Genetic screening or testing
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(A) As used in this section: (1) "Genetic screening or testing" means a laboratory test of a person's genes or chromosomes forgenotypes, mutations, or chromosomal changes, including carrier status, that are linked to physical or mental disorders or impairments, or that indicate a…
Ohio Rev. Code Ann. § 3901.501 Genetic screening or testing for self-insurance plans
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Showing 101–150 of 1,367

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(A) As used in this section: (1) "Genetic screening or testing" means a laboratory test of a person's genes or chromosomes for genotypes, mutations, or chromosomal changes, including carrier status, that are linked to physical or mental disorders or impairments, or that indicate …

Ohio Rev. Code Ann. § 3901.51 Uncertified securities as deposits definitions

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As used in sections 3901.51 to 3901.55 of the Revised Code:(A) "Clearing corporation" has the same meaning as in section 1308.01 of the Revised Code, except that with respect to securities issued by institutions organized or existing under the laws of any foreign country or secur…

Ohio Rev. Code Ann. § 3901.52 Insurance company may place securities in clearing corporation or federal reserve book-entry system

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(A) An insurance company may place or arrange for the placement of securities held in or purchased for its general account and its separate accounts in a clearing corporation or the federal reserve book-entry system. Ownership of, and other interest in, these securities may be tr…

Ohio Rev. Code Ann. § 3901.53 Placement of securities shall satisfy deposit requirements

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(A) Securities that are eligible for deposit under provisions of the insurance laws of this state may be placed with a clearing corporation or held in the federal reserve book-entry system.(B) When an insurance company places or arranges for the placement of securities in a clear…

Ohio Rev. Code Ann. § 3901.54 Securities may not be used for other purposes

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No insurance company shall use, for any purpose other than to satisfy the deposit requirements under provisions of the insurance laws of this state, securities that have been placed in a clearing corporation or in the federal reserve book-entry system for the satisfaction of thes…

Ohio Rev. Code Ann. § 3901.55 Rules

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The superintendent of insurance may adopt rules pursuant to Chapter 119. of the Revised Code to carry out the purposes of sections 3901.51, 3901.52, and 3901.53 of the Revised Code.

Ohio Rev. Code Ann. § 3901.56 Rewards or incentives for insurer wellness or health improvement programs

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An insurer may offer a wellness or health improvement program that provides rewards or incentives, including merchandise; gift cards; debit cards; premium discounts or rebates; contributions to a health savings account; modifications to copayment, deductible, or coinsurance amoun…

Ohio Rev. Code Ann. § 3901.61 Credit for reinsurance ceded definitions

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As used in sections 3901.61 to 3901.65 of te Revised Code:(A) "Assuming insurer" means an insurance company that accepts all or part of the risk underwritten by a ceding insurer.(B) "Ceding insurer" means an insurance company that transfers all or part of the risk it underwrites …

Ohio Rev. Code Ann. § 3901.62 Credit for reinsurance ceded as asset or reduction of liability; accreditation as reinsurer

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(A) Except as provided in sections 3901.63 and 3901.64 of the Revised Code, a domestic ceding insurer that is authorized to do any insurance business in this state may take credit for any reinsurance ceded as either an asset or a reduction of liability only if one of the followin…

Ohio Rev. Code Ann. § 3901.621 Suspension or revocation of reinsurer's accreditation or certification

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(A) If a reinsurer accredited pursuant to division (B)(1) of section 3901.62 of the Revised Code or certified pursuant to division (D)(1) of that section ceases to meet the requirements for accreditation or certification, the superintendent may suspend or revoke the reinsurer's a…

Ohio Rev. Code Ann. § 3901.63 Credit for reinsurance ceded as reduction of liability

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(A) If section 3901.62 of the Revised Code does not apply to the reinsurance ceded to an assuming insurer by a domestic ceding insurer that is authorized to do any insurance business in this state, the ceding insurer may take credit for the reinsurance ceded as a reduction of lia…

Ohio Rev. Code Ann. § 3901.631 Management of reinsurance recoverables by domestic ceding insurer

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(A) A domestic ceding insurer shall take steps to manage its reinsurance recoverables proportionate to its own book of business. (1) A domestic ceding insurer shall notify the superintendent within thirty days after reinsurance recoverables from any single assuming insurer, or gr…

Ohio Rev. Code Ann. § 3901.64 Terms of reinsurance or security agreement

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(A) A domestic ceding insurer may take credit for any reinsurance ceded as provided in sections 3901.61 to 3901.63 of the Revised Code only if the reinsurance agreement contained in the reinsurance contract, and any agreement that provides security for the payment of the obligati…

Ohio Rev. Code Ann. § 3901.65 Rules

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The superintendent of insurance may adopt rules, in accordance with Chapter 119. of the Revised Code, to carry out the purposes of sections 3901.61 to 3901.65 of the Revised Code, including a rule regarding the standards of acceptability of letters of credit and other forms of se…

Ohio Rev. Code Ann. § 3901.67 Disclosure of material transactions model act definitions

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As used in sections 3901.67 to 3901.70 of the Revised Code:(A) "Material acquisition" means an acquisition, or a series of related acquisitions during any thirty-day period, that is nonrecurring and not in the ordinary course of business and involves more than five per cent of th…

Ohio Rev. Code Ann. § 3901.68 Provisions application

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Sections 3901.67 to 3901.70 of the Revised Code apply to all of the following:(A) Asset acquisitions, including every purchase, lease, exchange, merger, consolidation, succession, or other acquisition other than the construction or development of real property by or for the repor…

Ohio Rev. Code Ann. § 3901.69 Insurer to report material transactions

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(A) Each insurer domiciled in this state shall file a report with the superintendent of insurance disclosing material acquisitions and material dispositions of assets, and material nonrenewals, cancellations, or revisions of ceded reinsurance agreements, unless such transactions …

Ohio Rev. Code Ann. § 3901.70 Confidentiality of reports - exceptions

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(A) Each report obtained by or disclosed to the superintendent of insurance pursuant to sections 3901.67 to 3901.70 of the Revised Code is confidential and privileged and is not subject to subpoena. Except as provided in division (B) of this section, the report shall not be made …

Ohio Rev. Code Ann. § 3901.71 Application of mandated health benefits

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(A) As used in this section, "mandated health benefits" means any required coverage, or required offering of coverage, for the expenses of specified services, treatments, or diseases under any policy, contract, plan, or other arrangement providing sickness and accident or other h…

Ohio Rev. Code Ann. § 3901.72 Money advanced to insurance company or health insuring corporation

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Any person may advance to a domestic insurance company or a health insuring corporation any sum of money necessary for the purpose of the insurance company's or health insuring corporation's business, or to enable the insurance company or health insuring corporation to comply wit…

Ohio Rev. Code Ann. § 3901.73 Department to forward copy of late filing notice to board of directors

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The department of insurance shall forward a copy of any written notice received from any insurance company or health insuring corporation domiciled in this state that the insurer or health insuring corporation will be late in making the filing of any quarterly or annual financial…

Ohio Rev. Code Ann. § 3901.74 Notice of life insurance company discontinuing business

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When a life insurance company doing business in this state decides to discontinue its business, the superintendent of insurance upon the application of the company or association shall give notice, at its expense, of such intention at least once a week for six weeks in a newspape…

Ohio Rev. Code Ann. § 3901.75 Notice of insurance companies other than life discontinuing business

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When any insurance company or corporation other than life, which company or corporation has made a deposit with the superintendent of insurance, intends to discontinue its business in this state, the superintendent, upon the application of the company or corporation, shall give n…

Ohio Rev. Code Ann. § 3901.76 Security valuation expense fund

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As used in this section, "securities" means the stocks, bonds, debentures, and other assets subject from time to time to valuation by the committee on valuation of securities of the national association of insurance commissioners.For the purpose of enabling the superintendent of …

Ohio Rev. Code Ann. § 3901.77 Forms, instructions, manuals - determination of accounting practices and methods

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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 ma…

Ohio Rev. Code Ann. § 3901.78 Certificate of compliance

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Upon request or in any other circumstance that the superintendent of insurance determines to be appropriate, the superintendent may issue certificates of compliance to insurance companies and associations authorized to do business in this state, which shall be on either forms est…

Ohio Rev. Code Ann. § 3901.80 Discriminating against living organ donors

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(A) As used in this section: (1) "Living organ donor" means a living person who donates an organ to another living person. (2) "Policy of insurance" means a life insurance policy, disability insurance policy, or long-term care insurance policy. (B) Notwithstanding any provision o…

Ohio Rev. Code Ann. § 3901.81 Definitions

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As used in this section and sections 3901.811 to 3901.815 of the Revised Code:(A) "Auditing entity" means any person or government entity that performs a pharmacy audit, including a payer, a pharmacy benefit manager, or a third-party administrator licensed under Chapter 3959. of …

Ohio Rev. Code Ann. § 3901.811 Pharmacy audits

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(A) Except as provided in division (B) of this section, an auditing entity is subject to all of the following conditions when performing a pharmacy audit in this state: (1) If it is necessary that the pharmacy audit be performed on the premises of a pharmacy, the auditing entity …

Ohio Rev. Code Ann. § 3901.812 Rights of pharmacy

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A pharmacy may do any of the following when a pharmacy audit is performed:(A) Validate a pharmacy record by using original or photocopied records from hospitals, physicians, or other health care providers;(B) Validate one or more claims for payment for the provision of dangerous …

Ohio Rev. Code Ann. § 3901.813 Proceedings after audit

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(A) Except as provided in division (B) of this section, all of the following apply after a pharmacy audit is completed:(1) A pharmacy shall be given not less than thirty days from the date of the on-site audit to provide the auditing entity any additional information necessary to…

Ohio Rev. Code Ann. § 3901.814 Appeal process

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Each auditing entity in this state shall establish in writing separate procedures for a pharmacy to appeal one or more findings in a preliminary audit report issued under section 3901.813 of the Revised Code.

Ohio Rev. Code Ann. § 3901.815 Applicability of provisions

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Sections 3901.811 to 3901.814 of the Revised Code shall not apply to an auditing entity that is a medicaid managed care organization if application of those sections to the entity would be in violation of federal law.

Ohio Rev. Code Ann. § 3901.82 Restatement of the Law, Liability Insurance

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The "Restatement of the Law, Liability Insurance" that was approved at the 2018 annual meeting of the American law institute does not constitute the public policy of this state and is not an appropriate subject of notice.

Ohio Rev. Code Ann. § 3901.83 Definitions for sections 3901.83 to 3901.833

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As used in sections 3901.83 to 3901.833 of the Revised Code: (A) "Clinical practice guidelines" means a systematically developed statement to assist health care provider and patient decisions with regard to appropriate health care for specific clinical circumstances and condition…

Ohio Rev. Code Ann. § 3901.831 Implementation of step therapy protocol

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(A) If a health plan issuer or a utilization review organization implements a step therapy protocol, that protocol shall be implemented via clinical review criteria that are based on clinical practice guidelines or medical or scientific evidence. (B) When establishing a step ther…

Ohio Rev. Code Ann. § 3901.832 Step therapy exemption

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(A)(1)(a) When coverage of a prescription drug for the treatment of any medical condition is restricted for use by a health plan issuer or utilization review organization through the use of a step therapy protocol, the health plan issuer or utilization review organization shall p…

Ohio Rev. Code Ann. § 3901.833 Adoption of rules

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The superintendent of insurance may adopt rules as necessary to enforce sections 3901.83 to 3901.833 of the Revised Code.

Ohio Rev. Code Ann. § 3901.86 Retaliatory provisions - moneys collected paid to state fire marshal's fund

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(A) When the laws of any other state, district, territory, or nation impose any taxes, fines, penalties, license fees, deposits of money, securities, or other obligations or prohibitions on insurance companies of this state doing business in that state, district, territory, or na…

Ohio Rev. Code Ann. § 3901.87 No coverage for nontherapeutic abortion

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(A) No qualified health plan shall provide coverage for a nontherapeutic abortion. (B) As used in this section: (1) "Nontherapeutic abortion" has the same meaning as in section 9.04 of the Revised Code. (2) "Qualified health plan" means any qualified health plan as defined in sec…

Ohio Rev. Code Ann. § 3901.88 Actuarial study regarding costs of health care mandates

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The superintendent of insurance shall conduct an actuarial study on the costs of all health care mandates under state law that apply to individual and group health insurance plans that are not subject to the "Employee Retirement Income Security Act of 1974," 29 U.S.C. 1001, et se…

Ohio Rev. Code Ann. § 3901.89 Health plan issuers release claim information to group plan policyholders.

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(A) As used in this section: (1) "Full-time employee" means an employee working an average of at least thirty hours of service per week during a calendar month, or at least one hundred thirty hours of service during the calendar month. (2) "Group policyholder" means a policyholde…

Ohio Rev. Code Ann. § 3901.90 Education on mental health and addiction services insurance parity

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The superintendent of insurance, in consultation with the director of behavioral health , shall develop consumer and payer education on mental health and addiction services insurance parity and establish and promote a consumer hotline to collect information and help consumers und…

Ohio Rev. Code Ann. § 3901.91 Adoption or amendment of rules related to insurance rating agencies

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When the superintendent of insurance adopts or amends a rule, including a rule related to the superintendent's duties and powers under Chapters 1751. and 1753. and Title XXXIX of the Revised Code or a rule related to an "insurance rating agency" as defined by section 1.65 of the …

Ohio Rev. Code Ann. § 3901.95 Direct primary care agreement not to be considered insurance

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A direct primary care agreement that meets all of the following shall not be considered insurance and nothing in Title XXXIX or Chapter 1739., 1751., or 1753. of the Revised Code shall apply to such an agreement: (A) It is in writing. (B) It is between a patient, or that patient'…

Ohio Rev. Code Ann. § 3901.96 Nonprofit agricultural membership organization not to be considered insurance

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(A) As used in this section: (1) "Nonprofit agricultural membership organization" means an organization or an affiliate of an organization that meets both of the following: (a) The organization was incorporated in this state on or before December 31, 1919, for the purpose of prom…

Ohio Rev. Code Ann. § 3901.99 Penalty

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(A) Whoever violates section 3901.09 of the Revised Code shall be fined not less than twenty-five nor more than five hundred dollars.(B) Whoever violates any law relating to the superintendent of insurance, or any law of this state relating to insurance as defined in division (A)…