Ohio Revised Code|Chapter 1751 | Health Insuring Corporation Law

Section 1751.01 | Health insuring corporation law definitions.

Section 1751.02 | Applying for certificate of authority.

Section 1751.03 | Verification of application.

Section 1751.04 | Review of application and documents by superintendent.

Section 1751.05 | Issuance or denial of certificate of authority.

Section 1751.06 | Powers upon obtaining certificate.

Section 1751.07 | Responsibility for funds.

Section 1751.08 | Inapplicability of insurance laws.

Section 1751.11 | Evidence of coverage.

Section 1751.111 | Standardized prescription identification information - pharmacy benefits to be included.

Section 1751.12 | Contractual periodic prepayment or premium rate.

Section 1751.13 | Contracts with providers and health care facilities.

Section 1751.14 | Termination of coverage of child.

Section 1751.141 | Dependent children living outside health insuring corporation's approved service area.

Section 1751.15 | [Suspended eff. 1/1/2014 to 1/1/2022, per Section 3 of S.B. 9 of the 130th General Assembly, as amended] Annual open enrollment period.

Section 1751.16 | [Suspended eff. 1/1/2014 to 1/1/2022, per Section 3 of S.B. 9 of the 130th General Assembly, as amended] Option for conversion from group to individual contract.

Section 1751.17 | [Suspended eff. 1/1/2014 to 1/1/2022, per Section 3 of S.B. 9 of the 130th General Assembly, as amended] Option for conversion to a contract issued on a direct-payment basis.

Section 1751.18 | Cancelling or failing to renew coverage.

Section 1751.19 | Complaint system.

Section 1751.20 | Unfair, untrue, misleading, or deceptive acts.

Section 1751.21 | Peer review committee.

Section 1751.25 | Investment of funds.

Section 1751.26 | Investments in real estate.

Section 1751.27 | Deposit of securities with superintendent or custodian.

Section 1751.271 | Medicaid providers - performance bond.

Section 1751.28 | Admitted assets held in corporation's name and free and clear of encumbrances, pledges, or hypothecation.

Section 1751.31 | Changes in corporation's solicitation document.

Section 1751.32 | Annual report.

Section 1751.321 | Audit report filed annually.

Section 1751.33 | Information to be provided to subscribers.

Section 1751.34 | Examinations by superintendent and director.

Section 1751.35 | Suspension or revocation of certificate of authority.

Section 1751.36 | Notification of grounds for denial, suspension or revocation of certificate - hearing.

Section 1751.38 | Applicability of other laws.

Section 1751.40 | Insurance companies operating as health insuring corporations.

Section 1751.42 | Rehabilitation, liquidation, supervision or conservation of corporation.

Section 1751.44 | Fees paid to superintendent of insurance.

Section 1751.45 | Administrative penalties - violations.

Section 1751.46 | Recommendations for expansion of service areas.

Section 1751.47 | Adopting forms, instructions and manuals for providing financial information.

Section 1751.48 | Rules.

Section 1751.51 | Restrictions on choice of providers.

Section 1751.52 | Confidentiality of information.

Section 1751.521 | Medical information release.

Section 1751.53 | Continuing coverage after termination of employment.

Section 1751.54 | Continuing coverage after reservist called to duty.

Section 1751.55 | Effect of workers compensation coverage.

Section 1751.56 | Effect of supplemental sickness and accident insurance policy.

Section 1751.57 | Conditions applying to all individual health insuring corporation contracts.

Section 1751.58 | Conditions applying to all group health insuring corporation contracts sold in connection with employment-related group health care plan.

Section 1751.59 | Coverage of adopted children.

Section 1751.60 | Provider or facility limited to seek compensation for covered services solely from HIC.

Section 1751.61 | Coverage for newly born child.

Section 1751.62 | Screening mammography - cytologic screening for cervical cancer.

Section 1751.63 | Long-term care insurance.

Section 1751.65 | Health insuring corporation - prohibited activities.

Section 1751.66 | Prescription drugs.

Section 1751.67 | Maternity benefits.

Section 1751.68 | Provisions for medication synchronization for enrollees.

Section 1751.69 | Cancer chemotherapy; coverage for orally and intravenously administered treatments.

Section 1751.691 | Prior authorization requirements or other utilization review measures as conditions of providing coverage of an opioid analgesic.

Section 1751.70 | Authorization of payroll deductions for public employees.

Section 1751.71 | Accepting payments for cost of policies, contracts, and agreements.

Section 1751.72 | Policy, contract, or agreement containing a prior authorization requirement.

Section 1751.73 | Implementing quality assurance programs.

Section 1751.74 | Quality assurance program requirements.

Section 1751.75 | Determination that accreditation constitutes compliance.

Section 1751.77 | Utilization review, internal and external review procedure definitions.

Section 1751.78 | Application of provisions.

Section 1751.79 | Utilization review program requirements.

Section 1751.80 | Implementing utilization review programs.

Section 1751.81 | Maintaining written procedures for determining whether requested service is covered.

Section 1751.811 | Internal and external reviews.

Section 1751.82 | Reconsideration of adverse determination.

Section 1751.821 | Determination that accreditation constitutes compliance.

Section 1751.822 | Cooperation with utilization review program.

Section 1751.823 | Filing certificate of compliance.

Section 1751.83 | Maintaining internal review system.

Section 1751.84 | Coverage for autism spectrum disorder.

Section 1751.85 | Information for vision care services or materials.

Section 1751.86 | Violation deemed unfair and deceptive act or practice.

Section 1751.87 | Cause of action not created.

Section 1751.89 | Medicare and medicaid exceptions.

Section 1751.90 | Coverage for teledentistry.

Section 1751.91 | Reimbursement for pharmacists providing health care.

Section 1751.92 | Compliance cost-sharing provisions.