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Ohio Revised Code

Chapter 3923

Sickness And Accident Insurance

3923.01Policy of sickness and accident insurance defined.3923.011Sickness and accident insurance definitions.3923.02Form of policy filed with superintendent.3923.021Approval or disapproval of premium rates.3923.022Maximum aggregate administrative expenses.3923.03Necessary provisions.3923.04Policy standard provisions.3923.041Policies with prior authorization requirement provisions.3923.05Provisions to conform to prescribed wording.3923.06Order of presentation of policy provisions.3923.061Interest on proceeds payable due to death by sickness or accident.3923.07Omission or substitution of provisions.3923.071Policies, applications, riders or indorsements issued prior to 10-1-53.3923.08Nonconflicting provisions permitted in policy.3923.09Validity of nonconforming policy.3923.10Industrial sickness and accident insurance.3923.11Sickness and accident insurance on a franchise plan.3923.12Group sickness and accident insurance.3923.121Association of insurers to provide basic medical coverage to persons 65 or older.3923.123Association of insurers to provide group health coverage to qualified unemployed persons.3923.13Blanket sickness and accident insurance.3923.14False statement in application - alteration of written application.3923.141Agent of the insurer.3923.15Unfair discrimination prohibited.3923.16Misleading or deceptive advertising prohibited.3923.161Describing cancellability and renewability provisions clearly and with prominence or emphasis.3923.17Prohibition of rebates not to prohibit commissions or dividends.3923.18Rights of insurer in defense of claim not waived.3923.19Benefits exempt from legal process - exception.3923.20Exemptions for certain insurance policies.3923.21Prohibition against delivery of policy on disapproved insurance form.3923.22Appeal - applicability of administrative procedure sections.3923.23Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.3923.231Reimbursement for services of licensed psychologist.3923.232Reimbursement for services of licensed dentist.3923.233Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician.3923.234Reimbursement for services of certified mechanotherapist.3923.24Continuing coverage for dependent children.3923.241Public employee benefit plans - continuing coverage for dependent children.3923.25Kidney dialysis benefits.3923.26Coverage for newly born children from the moment of birth.3923.27Hospitalization coverage for mental illness.3923.28Outpatient coverage for mental or emotional disorders.3923.281Sickness and accident policies - biologically based mental illness.3923.282Health coverage plans - biologically based mental illness.3923.29Outpatient, inpatient, and intermediate primary care benefits for alcoholism.3923.30Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism.3923.301Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician.3923.31Right to rescind individual policy of sickness and accident insurance.3923.32Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.3923.33Medicare supplement policy definitions.3923.331Statutes applicable to medicare supplement policies.3923.332Standards for policy provisions of medicare supplement policies and certificates.3923.333Benefits to be reasonable in relation to premium charged.3923.334Outline of coverage delivered at time application is made.3923.335Right to return policy or certificate and have premium refunded.3923.336Review and approval of advertisement by superintendent.3923.337Rules.3923.338Orders of superintendent.3923.339Severability.3923.36Excluding coverage of illness or injury covered by workers' compensation.3923.37Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy.3923.38Continuing policy upon termination of employment.3923.381Continuing coverage under group policy when reservist is called or ordered to active duty.3923.382Continuing coverage under group plan when reservist is called or ordered to active duty.3923.39Consolidated corporation cancelling individual policy for nonpayment.3923.40Coverage of adopted children.3923.41Long-term care insurance definitions.3923.42Citing provisions - applicability.3923.43Evidence to be filed by long-term care insurance association.3923.44Standards for full and fair disclosure for sale of long-term care insurance policies.3923.441Rescission of long-term care policy for misrepresentation.3923.442Offer of nonforfeiture benefit option with long-term care policy.3923.443Training required for agents selling long-term care policies.3923.444Compensation of agents selling long-term care policies.3923.45Forms.3923.46Rates for individual policy.3923.47Rules.3923.48Violation is unfair and deceptive insurance practice.3923.49Establishing outreach program to educate consumers.3923.50Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.3923.51Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.3923.52Screening mammography and cytologic screening benefits.3923.53Public employee benefit plan - breast cancer and cervical cancer screening.3923.54Employee health care benefit plan.3923.55Policy to include benefits for child health supervision services from moment of birth until age nine.3923.56Plan to include benefits for child health supervision services from moment of birth until age nine.3923.57Pre-existing conditions provisions.3923.571Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan.3923.60Standard medical reference compendia for coverage of prescription drugs.3923.601Standardized prescription identification information - pharmacy benefits to be included.3923.602Medication synchronization for insured.3923.61Public employee benefit plans - prescription drugs.3923.62Disclosing determination of usual and customary fee for dental benefits.3923.63Coverage of inpatient care and follow-up care for mother and her newborn.3923.64Public employee benefit plans - maternity benefits.3923.65Coverage for emergency services.3923.80Denial of coverage to cancer clinical trial participant.3923.81Covered person's payments not to exceed insurer payments.3923.82Coverage for alcohol or drug related losses or expenses.3923.83Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan.3923.84Coverage for autism spectrum disorder.3923.85Cancer medication; coverage for orally and intravenously administered treatments.3923.851Prior authorization requirements or other utilization review measures as conditions of providing coverage of an opioid analgesic prescribed for treatment of chronic pain; exceptions.3923.86Statement provided to insureds under vision policy.3923.87Compliance with section 3959.20.3923.89Payment or reimbursement to pharmacist.3923.90Teledentistry to be included in coverage.3923.99Penalty.