Ohio Chapter 3923 — Sickness And Accident Insurance

109 sections hosted, reproduced from the official public-domain source.

Ohio Rev. Code Ann. § 3923.01— Policy of sickness and accident insurance defined
Ohio Rev. Code Ann. § 3923.02— Form of policy filed with superintendent
Ohio Rev. Code Ann. § 3923.03— Necessary provisions
Ohio Rev. Code Ann. § 3923.04— Policy standard provisions
Ohio Rev. Code Ann. § 3923.05— Provisions to conform to prescribed wording
Ohio Rev. Code Ann. § 3923.06— Order of presentation of policy provisions
Ohio Rev. Code Ann. § 3923.07— Omission or substitution of provisions
Ohio Rev. Code Ann. § 3923.08— Nonconflicting provisions permitted in policy
Ohio Rev. Code Ann. § 3923.09— Validity of nonconforming policy
Ohio Rev. Code Ann. § 3923.10— Industrial sickness and accident insurance
Ohio Rev. Code Ann. § 3923.011— Sickness and accident insurance definitions
Ohio Rev. Code Ann. § 3923.11— Sickness and accident insurance on a franchise plan
Ohio Rev. Code Ann. § 3923.12— Group sickness and accident insurance
Ohio Rev. Code Ann. § 3923.13— Blanket sickness and accident insurance
Ohio Rev. Code Ann. § 3923.14— False statement in application - alteration of written application
Ohio Rev. Code Ann. § 3923.15— Unfair discrimination prohibited
Ohio Rev. Code Ann. § 3923.16— Misleading or deceptive advertising prohibited
Ohio Rev. Code Ann. § 3923.17— Prohibition of rebates not to prohibit commissions or dividends
Ohio Rev. Code Ann. § 3923.18— Rights of insurer in defense of claim not waived
Ohio Rev. Code Ann. § 3923.19— Benefits exempt from legal process - exception
Ohio Rev. Code Ann. § 3923.20— Exemptions for certain insurance policies
Ohio Rev. Code Ann. § 3923.021— Approval or disapproval of premium rates
Ohio Rev. Code Ann. § 3923.21— Prohibition against delivery of policy on disapproved insurance form
Ohio Rev. Code Ann. § 3923.022— Maximum aggregate administrative expenses
Ohio Rev. Code Ann. § 3923.22— Appeal - applicability of administrative procedure sections
Ohio Rev. Code Ann. § 3923.23— Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist
Ohio Rev. Code Ann. § 3923.24— Continuing coverage for dependent children
Ohio Rev. Code Ann. § 3923.25— Kidney dialysis benefits
Ohio Rev. Code Ann. § 3923.26— Coverage for newly born children from the moment of birth
Ohio Rev. Code Ann. § 3923.27— Hospitalization coverage for mental illness
Ohio Rev. Code Ann. § 3923.28— Outpatient coverage for mental or emotional disorders
Ohio Rev. Code Ann. § 3923.29— Outpatient, inpatient, and intermediate primary care benefits for alcoholism
Ohio Rev. Code Ann. § 3923.30— Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism
Ohio Rev. Code Ann. § 3923.31— Right to rescind individual policy of sickness and accident insurance
Ohio Rev. Code Ann. § 3923.32— Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber
Ohio Rev. Code Ann. § 3923.33— Medicare supplement policy definitions
Ohio Rev. Code Ann. § 3923.36— Excluding coverage of illness or injury covered by workers' compensation
Ohio Rev. Code Ann. § 3923.37— Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy
Ohio Rev. Code Ann. § 3923.38— Continuing policy upon termination of employment
Ohio Rev. Code Ann. § 3923.39— Consolidated corporation cancelling individual policy for nonpayment
Ohio Rev. Code Ann. § 3923.40— Coverage of adopted children
Ohio Rev. Code Ann. § 3923.041— Policies with prior authorization requirement provisions
Ohio Rev. Code Ann. § 3923.41— Long-term care insurance definitions
Ohio Rev. Code Ann. § 3923.42— Citing provisions - applicability
Ohio Rev. Code Ann. § 3923.43— Evidence to be filed by long-term care insurance association
Ohio Rev. Code Ann. § 3923.44— Standards for full and fair disclosure for sale of long-term care insurance policies
Ohio Rev. Code Ann. § 3923.45— Forms
Ohio Rev. Code Ann. § 3923.46— Rates for individual policy
Ohio Rev. Code Ann. § 3923.47— Rules
Ohio Rev. Code Ann. § 3923.48— Violation is unfair and deceptive insurance practice
Ohio Rev. Code Ann. § 3923.49— Establishing outreach program to educate consumers
Ohio Rev. Code Ann. § 3923.50— Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements
Ohio Rev. Code Ann. § 3923.51— Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families
Ohio Rev. Code Ann. § 3923.52— Screening mammography and cytologic screening benefits
Ohio Rev. Code Ann. § 3923.53— Public employee benefit plan - breast cancer and cervical cancer screening
Ohio Rev. Code Ann. § 3923.54— Employee health care benefit plan
Ohio Rev. Code Ann. § 3923.55— Policy to include benefits for child health supervision services from moment of birth until age nine
Ohio Rev. Code Ann. § 3923.56— Plan to include benefits for child health supervision services from moment of birth until age nine
Ohio Rev. Code Ann. § 3923.57— Pre-existing conditions provisions
Ohio Rev. Code Ann. § 3923.60— Standard medical reference compendia for coverage of prescription drugs
Ohio Rev. Code Ann. § 3923.061— Interest on proceeds payable due to death by sickness or accident
Ohio Rev. Code Ann. § 3923.61— Public employee benefit plans - prescription drugs
Ohio Rev. Code Ann. § 3923.62— Disclosing determination of usual and customary fee for dental benefits
Ohio Rev. Code Ann. § 3923.63— Coverage of inpatient care and follow-up care for mother and her newborn
Ohio Rev. Code Ann. § 3923.64— Public employee benefit plans - maternity benefits
Ohio Rev. Code Ann. § 3923.65— Coverage for emergency services
Ohio Rev. Code Ann. § 3923.071— Policies, applications, riders or indorsements issued prior to 10-1-53
Ohio Rev. Code Ann. § 3923.80— Denial of coverage to cancer clinical trial participant
Ohio Rev. Code Ann. § 3923.81— Covered person's payments not to exceed insurer payments
Ohio Rev. Code Ann. § 3923.82— Coverage for alcohol or drug related losses or expenses
Ohio Rev. Code Ann. § 3923.83— Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan
Ohio Rev. Code Ann. § 3923.84— Coverage for autism spectrum disorder
Ohio Rev. Code Ann. § 3923.85— Cancer medication; coverage for orally and intravenously administered treatments
Ohio Rev. Code Ann. § 3923.86— Statement provided to insureds under vision policy
Ohio Rev. Code Ann. § 3923.87— Compliance with section 3959.20
Ohio Rev. Code Ann. § 3923.89— Payment or reimbursement to pharmacist
Ohio Rev. Code Ann. § 3923.90— Teledentistry to be included in coverage
Ohio Rev. Code Ann. § 3923.99— Penalty
Ohio Rev. Code Ann. § 3923.121— Association of insurers to provide basic medical coverage to persons 65 or older
Ohio Rev. Code Ann. § 3923.123— Association of insurers to provide group health coverage to qualified unemployed persons
Ohio Rev. Code Ann. § 3923.141— Agent of the insurer
Ohio Rev. Code Ann. § 3923.161— Describing cancellability and renewability provisions clearly and with prominence or emphasis
Ohio Rev. Code Ann. § 3923.231— Reimbursement for services of licensed psychologist
Ohio Rev. Code Ann. § 3923.232— Reimbursement for services of licensed dentist
Ohio Rev. Code Ann. § 3923.233— Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician
Ohio Rev. Code Ann. § 3923.234— Reimbursement for services of certified mechanotherapist
Ohio Rev. Code Ann. § 3923.241— Public employee benefit plans - continuing coverage for dependent children
Ohio Rev. Code Ann. § 3923.281— Sickness and accident policies - biologically based mental illness
Ohio Rev. Code Ann. § 3923.282— Health coverage plans - biologically based mental illness
Ohio Rev. Code Ann. § 3923.301— Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician
Ohio Rev. Code Ann. § 3923.331— Statutes applicable to medicare supplement policies
Ohio Rev. Code Ann. § 3923.332— Standards for policy provisions of medicare supplement policies and certificates
Ohio Rev. Code Ann. § 3923.333— Benefits to be reasonable in relation to premium charged
Ohio Rev. Code Ann. § 3923.334— Outline of coverage delivered at time application is made
Ohio Rev. Code Ann. § 3923.335— Right to return policy or certificate and have premium refunded
Ohio Rev. Code Ann. § 3923.336— Review and approval of advertisement by superintendent
Ohio Rev. Code Ann. § 3923.337— Rules
Ohio Rev. Code Ann. § 3923.338— Orders of superintendent
Ohio Rev. Code Ann. § 3923.339— Severability
Ohio Rev. Code Ann. § 3923.381— Continuing coverage under group policy when reservist is called or ordered to active duty
Ohio Rev. Code Ann. § 3923.382— Continuing coverage under group plan when reservist is called or ordered to active duty
Ohio Rev. Code Ann. § 3923.441— Rescission of long-term care policy for misrepresentation
Ohio Rev. Code Ann. § 3923.442— Offer of nonforfeiture benefit option with long-term care policy
Ohio Rev. Code Ann. § 3923.443— Training required for agents selling long-term care policies
Ohio Rev. Code Ann. § 3923.444— Compensation of agents selling long-term care policies
Ohio Rev. Code Ann. § 3923.571— Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan
Ohio Rev. Code Ann. § 3923.601— Standardized prescription identification information - pharmacy benefits to be included
Ohio Rev. Code Ann. § 3923.602— Medication synchronization for insured
Ohio Rev. Code Ann. § 3923.851— Prior authorization requirements or other utilization review measures as conditions of providing coverage of an opioid analgesic prescribed for treatment of chronic pain; exceptions