Health Insuring Corporation Law | Midpage

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Ohio Revised Code

Chapter 1751

Health Insuring Corporation Law

1751.01Health insuring corporation law definitions 1751.02Applying for certificate of authority 1751.03Verification of application 1751.04Review of application and documents by superintendent 1751.05Issuance or denial of certificate of authority 1751.06Powers upon obtaining certificate 1751.07Responsibility for funds 1751.08Inapplicability of insurance laws 1751.11Evidence of coverage 1751.111Standardized prescription identification information - pharmacy benefits to be included 1751.12Contractual periodic prepayment or premium rate 1751.13Contracts with providers and health care facilities 1751.14Termination of coverage of child 1751.141Dependent children living outside health insuring corporation's approved service area 1751.18Cancelling or failing to renew coverage 1751.19Complaint system 1751.20Unfair, untrue, misleading, or deceptive acts 1751.21Peer review committee 1751.25Investment of funds 1751.26Investments in real estate 1751.27Deposit of securities with superintendent or custodian 1751.271Medicaid providers - performance bond 1751.28Admitted assets held in corporation's name and free and clear of encumbrances, pledges, or hypothecation 1751.31Changes in corporation's solicitation document 1751.32Annual report 1751.321Audit report filed annually 1751.33Information to be provided to subscribers 1751.34Examinations by superintendent and director 1751.35Suspension or revocation of certificate of authority 1751.36Notification of grounds for denial, suspension or revocation of certificate - hearing 1751.38Applicability of other laws 1751.40Insurance companies operating as health insuring corporations 1751.42Rehabilitation, liquidation, supervision or conservation of corporation 1751.44Fees paid to superintendent of insurance 1751.45Administrative penalties - violations 1751.46Recommendations for expansion of service areas 1751.47Adopting forms, instructions and manuals for providing financial information 1751.48Rules 1751.51Restrictions on choice of providers 1751.52Confidentiality of information 1751.521Medical information release 1751.53Continuing coverage after termination of employment 1751.54Continuing coverage after reservist called to duty 1751.55Effect of workers compensation coverage 1751.56Effect of supplemental sickness and accident insurance policy 1751.57Conditions applying to all individual health insuring corporation contracts 1751.58Conditions applying to all group health insuring corporation contracts sold in connection with employment-related group health care plan 1751.59Coverage of adopted children 1751.60Provider or facility limited to seek compensation for covered services solely from HIC 1751.61Coverage for newly born child 1751.62Screening mammography - cytologic screening for cervical cancer 1751.63Long-term care insurance 1751.65Health insuring corporation - prohibited activities 1751.66Prescription drugs 1751.67Maternity benefits 1751.68Provisions for medication synchronization for enrollees 1751.69Cancer chemotherapy; coverage for orally and intravenously administered treatments 1751.691Prior authorization requirements or other utilization review measures as conditions of providing coverage of an opioid analgesic 1751.70Authorization of payroll deductions for public employees 1751.71Accepting payments for cost of policies, contracts, and agreements 1751.72Policy, contract, or agreement containing a prior authorization requirement 1751.73Implementing quality assurance programs 1751.74Quality assurance program requirements 1751.75Determination that accreditation constitutes compliance 1751.77Utilization review, internal and external review procedure definitions 1751.78Application of provisions 1751.79Utilization review program requirements 1751.80Implementing utilization review programs 1751.81Maintaining written procedures for determining whether requested service is covered 1751.811Internal and external reviews 1751.82Reconsideration of adverse determination 1751.821Determination that accreditation constitutes compliance 1751.822Cooperation with utilization review program 1751.823Filing certificate of compliance 1751.83Maintaining internal review system 1751.84Coverage for autism spectrum disorder 1751.85Information for vision care services or materials 1751.86Violation deemed unfair and deceptive act or practice 1751.87Cause of action not created 1751.89Medicare and medicaid exceptions 1751.90Coverage for teledentistry 1751.91Reimbursement for pharmacists providing health care 1751.92Compliance cost-sharing provisions