Chapter 1751: HEALTH INSURING CORPORATION LAW
- 1751.01 Health insuring corporation law definitions.
- 1751.02 Applying for certificate of authority.
- 1751.03 Verification of application.
- 1751.04 Application review by director of health.
- 1751.05 Issuance or denial of certificate of authority.
- 1751.06 Powers upon obtaining certificate.
- 1751.07 Responsibility for funds.
- 1751.08 Inapplicability of insurance laws.
- 1751.11 Evidence of coverage.
- 1751.111 Standardized prescription identification information - pharmacy benefits to be included.
- 1751.12 Contractual periodic prepayment or premium rate.
- 1751.13 Contracts with providers and health care facilities.
- 1751.14 Termination of coverage of child.
- 1751.141 Dependent children living outside health insuring corporation's approved service area.
- 1751.15 Annual open enrollment period.
- 1751.16 Option for conversion from group to individual contract.
- 1751.17 Option for conversion to a contract issued on a direct-payment basis.
- 1751.18 Cancelling or failing to renew coverage.
- 1751.19 Complaint system.
- 1751.20 Unfair, untrue, misleading, or deceptive acts.
- 1751.21 Peer review committee.
- 1751.25 Investment of funds.
- 1751.26 Investments in real estate.
- 1751.27 Deposit of securities with superintendent or custodian.
- 1751.271 Medicaid providers - performance bond.
- 1751.28 Admitted assets held in corporation's name and free and clear of encumbrances, pledges, or hypothecation.
- 1751.31 Changes in corporation's solicitation document.
- 1751.32 Annual report.
- 1751.321 Audit report filed annually.
- 1751.33 [Effective Until 1/1/2012] Information to be provided to subscribers.
- 1751.34 Examinations by superintendent and director.
- 1751.35 Suspension or revocation of certificate of authority.
- 1751.36 Notification of grounds for denial, suspension or revocation of certificate - hearing.
- 1751.38 Applicability of other laws.
- 1751.40 Insurance companies operating as health insuring corporations.
- 1751.42 Rehabilitation, liquidation, supervision or conservation of corporation.
- 1751.44 Fees paid to superintendent of insurance.
- 1751.45 Administrative penalties - violations.
- 1751.46 Recommendations for expansion of service areas.
- 1751.47 Adopting forms, instructions and manuals for providing financial information.
- 1751.48 Rules.
- 1751.51 Restrictions on choice of providers.
- 1751.52 Confidentiality of information.
- 1751.521 Medical information release.
- 1751.53 Continuing coverage after termination of employment.
- 1751.54 Continuing coverage after reservist called to duty.
- 1751.55 Effect of workers compensation coverage.
- 1751.56 Effect of supplemental sickness and accident insurance policy.
- 1751.57 Conditions applying to all individual health insuring corporation contracts.
- 1751.58 Conditions applying to all group health insuring corporation contracts sold in connection with employment-related group health care plan.
- 1751.59 Coverage of adopted children.
- 1751.60 Provider or facility limited to seek compensation for covered services solely from HIC.
- 1751.61 Coverage for newly born child.
- 1751.62 Screening mammography - cytologic screening for cervical cancer.
- 1751.63 Long-term care insurance.
- 1751.64 [Repealed effective 2/9/2014] Genetic screening or testing.
- 1751.65 Health insuring corporation - prohibited activities.
- 1751.66 Prescription drugs.
- 1751.67 Maternity benefits.
- 1751.68 [Repealed].
- 1751.70 Authorization of payroll deductions for public employees.
- 1751.71 Accepting payments for cost of policies, contracts, and agreements.
- 1751.73 Implementing quality assurance programs.
- 1751.74 Quality assurance program requirements.
- 1751.75 Determination that accreditation constitutes compliance.
- 1751.77 Utilization review, internal and external review procedure definitions.
- 1751.78 Application of provisions.
- 1751.79 Utilization review program requirements.
- 1751.80 Implementing utilization review programs.
- 1751.81 Maintaining written procedures for determining whether requested service is covered.
- 1751.811 Internal and external reviews.
- 1751.82 Reconsideration of adverse determination.
- 1751.821 Determination that accreditation constitutes compliance.
- 1751.822 Cooperation with utilization review program.
- 1751.823 Filing certificate of compliance.
- 1751.83 Maintaining internal review system.
- 1751.831 System for receiving and reviewing requests for review.
- 1751.84 External review.
- 1751.85 Reasonable external, independent review process.
- 1751.86 Violation deemed unfair and deceptive act or practice.
- 1751.87 Cause of action not created.
- 1751.88 Evidence of independent review organization decision.
- 1751.89 Medicare and medicaid exceptions.