Chapter 3923: SICKNESS AND ACCIDENT INSURANCE
- 3923.01 Policy of sickness and accident insurance defined.
- 3923.011 Sickness and accident insurance definitions.
- 3923.02 Form of policy filed with superintendent.
- 3923.021 Approval or disapproval of premium rates.
- 3923.022 Maximum aggregate administrative expenses.
- 3923.03 Necessary provisions.
- 3923.04 Policy standard provisions.
- 3923.041 [Repealed].
- 3923.05 Provisions to conform to prescribed wording.
- 3923.06 Order of presentation of policy provisions.
- 3923.061 Interest on proceeds payable due to death by sickness or accident.
- 3923.07 Omission or substitution of provisions.
- 3923.071 Policies, applications, riders or indorsements issued prior to 10-1-53.
- 3923.08 Nonconflicting provisions permitted in policy.
- 3923.09 Validity of nonconforming policy.
- 3923.10 Industrial sickness and accident insurance.
- 3923.11 Sickness and accident insurance on a franchise plan.
- 3923.12 Group sickness and accident insurance.
- 3923.121 Association of insurers to provide basic medical coverage to persons 65 or older.
- 3923.122 Option for conversion from group policy to individual policy.
- 3923.123 Association of insurers to provide group health coverage to qualified unemployed persons.
- 3923.13 Blanket sickness and accident insurance.
- 3923.14 False statement in application - alteration of written application.
- 3923.141 Agent of the insurer.
- 3923.15 Unfair discrimination prohibited.
- 3923.16 Misleading or deceptive advertising prohibited.
- 3923.161 Describing cancellability and renewability provisions clearly and with prominence or emphasis.
- 3923.17 Prohibition of rebates not to prohibit commissions or dividends.
- 3923.18 Rights of insurer in defense of claim not waived.
- 3923.19 Benefits exempt from legal process - exception.
- 3923.20 Exemptions for certain insurance policies.
- 3923.21 Prohibition against delivery of policy on disapproved insurance form.
- 3923.22 Appeal - applicability of administrative procedure sections.
- 3923.23 Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.
- 3923.231 Reimbursement for services of licensed psychologist.
- 3923.232 Reimbursement for services of licensed dentist.
- 3923.233 Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician.
- 3923.234 Reimbursement for services of certified mechanotherapist.
- 3923.24 Continuing coverage for dependent children.
- 3923.241 Public employee benefit plans - continuing coverage for dependent children.
- 3923.25 Kidney dialysis benefits.
- 3923.26 Coverage for newly born children from the moment of birth.
- 3923.27 Hospitalization coverage for mental illness.
- 3923.28 Outpatient coverage for mental or emotional disorders.
- 3923.281 Sickness and accident policies - biologically based mental illness.
- 3923.282 Health coverage plans - biologically based mental illness.
- 3923.29 Outpatient, inpatient, and intermediate primary care benefits for alcoholism.
- 3923.30 Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism.
- 3923.301 Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician.
- 3923.31 Right to rescind individual policy of sickness and accident insurance.
- 3923.32 Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.
- 3923.33 Medicare supplement policy definitions.
- 3923.331 Statutes applicable to medicare supplement policies.
- 3923.332 Standards for policy provisions of medicare supplement policies and certificates.
- 3923.333 Benefits to be reasonable in relation to premium charged.
- 3923.334 Outline of coverage delivered at time application is made.
- 3923.335 Right to return policy or certificate and have premium refunded.
- 3923.336 Review and approval of advertisement by superintendent.
- 3923.337 Rules.
- 3923.338 Orders of superintendent.
- 3923.339 Severability.
- 3923.36 Excluding coverage of illness or injury covered by workers' compensation.
- 3923.37 Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy.
- 3923.38 Continuing policy upon termination of employment.
- 3923.381 Continuing coverage under group policy when reservist is called or ordered to active duty.
- 3923.382 Continuing coverage under group plan when reservist is called or ordered to active duty.
- 3923.39 Consolidated corporation cancelling individual policy for nonpayment.
- 3923.40 Coverage of adopted children.
- 3923.41 Long-term care insurance definitions.
- 3923.42 Citing provisions - applicability.
- 3923.43 Evidence to be filed by long-term care insurance association.
- 3923.44 Standards for full and fair disclosure for sale of long-term care insurance policies.
- 3923.441 Rescission of long-term care policy for misrepresentation.
- 3923.442 Offer of nonforfeiture benefit option with long-term care policy.
- 3923.443 Training required for agents selling long-term care policies.
- 3923.444 Compensation of agents selling long-term care policies.
- 3923.45 Forms.
- 3923.46 Rates for individual policy.
- 3923.47 Rules.
- 3923.48 Violation is unfair and deceptive insurance practice.
- 3923.49 Establishing outreach program to educate consumers.
- 3923.50 Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.
- 3923.51 Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.
- 3923.52 Screening mammography and cytologic screening benefits.
- 3923.53 Public employee benefit plan.
- 3923.54 Employee health care benefit plan.
- 3923.55 Policy to include benefits for child health supervision services from moment of birth until age nine.
- 3923.56 Plan to include benefits for child health supervision services from moment of birth until age nine.
- 3923.57 Pre-existing conditions provisions.
- 3923.571 Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan.
- 3923.58 Open enrollment coverage - insurers in the business of issuing individual policies of sickness and accident insurance.
- 3923.581 Open enrollment coverage - carriers in the business of issuing health benefit plans to individuals or nonemployer groups.
- 3923.582 Open enrollment coverage - responsibilities of superintendent of insurance.
- 3923.59 Open enrollment reinsurance program.
- 3923.60 Standard medical reference compendia for coverage of prescription drugs.
- 3923.601 Standardized prescription identification information - pharmacy benefits to be included.
- 3923.61 Public employee benefit plans - prescription drugs.
- 3923.62 Disclosing determination of usual and customary fee for dental benefits.
- 3923.63 Coverage of inpatient care and follow-up care for mother and her newborn.
- 3923.64 Public employee benefit plans - maternity benefits.
- 3923.65 Coverage for emergency services.
- 3923.651 [Repealed].
- 3923.66 Review of denials of health care coverage.
- 3923.67 Request for external review of coverage denial.
- 3923.68 Establishing reasonable external, independent review process.
- 3923.681 Sanctions for violations.
- 3923.69 No creation of cause of action.
- 3923.70 Admissibility of decision, opinion, or medicare reimbursement standard.
- 3923.75 Review of denials of health care coverage - public employee benefit plan.
- 3923.76 Request for external review of coverage denial - public employee benefit plan.
- 3923.77 Establishing reasonable external, independent review process - public employee benefit plan.
- 3923.78 No creation of cause of action - public employee benefit plan.
- 3923.79 Admissibility of decision, opinion, or medicare reimbursement standard - public employee benefit plan.
- 3923.80 Denial of coverage to cancer clinical trial participant.
- 3923.81 Covered person's payments not to exceed insurer payments.
- 3923.82 Coverage for alcohol or drug related losses or expenses.
- 3923.83 Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan.
- 3923.90 Health care coverage and quality council - creation.
- 3923.91 [Effective Until 9/6/2010] Health care coverage and quality council - responsibilities.
- 3923.99 Penalty.