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All sources · 33,674 documents · Table of contents · Title 39 Insurance · Title 39 Insurance · Chapter 3923 Sickness And Accident Insurance

Ohio

Title 39 Insurance · Chapter 3923 Sickness And Accident Insurance
109 entries
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Section 3923.01 — Policy of sickness and accident insurance defined.
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Section 3923.02 — Form of policy filed with superintendent.
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Section 3923.03 — Necessary provisions.
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Section 3923.04 — Policy standard provisions.
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Section 3923.05 — Provisions to conform to prescribed wording.
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Section 3923.06 — Order of presentation of policy provisions.
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Section 3923.07 — Omission or substitution of provisions.
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Section 3923.08 — Nonconflicting provisions permitted in policy.
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Section 3923.09 — Validity of nonconforming policy.
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Section 3923.10 — Industrial sickness and accident insurance.
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Section 3923.011 — Sickness and accident insurance definitions.
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Section 3923.11 — Sickness and accident insurance on a franchise plan.
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Section 3923.12 — Group sickness and accident insurance.
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Section 3923.13 — Blanket sickness and accident insurance.
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Section 3923.14 — False statement in application - alteration of written application.
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Section 3923.15 — Unfair discrimination prohibited.
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Section 3923.16 — Misleading or deceptive advertising prohibited.
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Section 3923.17 — Prohibition of rebates not to prohibit commissions or dividends.
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Section 3923.18 — Rights of insurer in defense of claim not waived.
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Section 3923.19 — Benefits exempt from legal process - exception.
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Section 3923.20 — Exemptions for certain insurance policies.
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Section 3923.021 — Approval or disapproval of premium rates.
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Section 3923.21 — Prohibition against delivery of policy on disapproved insurance form.
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Section 3923.022 — Maximum aggregate administrative expenses.
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Section 3923.22 — Appeal - applicability of administrative procedure sections.
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Section 3923.23 — Reimbursement for services of licensed osteopath, optometrist, chiropractor or podiatrist.
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Section 3923.24 — Continuing coverage for dependent children.
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Section 3923.25 — Kidney dialysis benefits.
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Section 3923.26 — Coverage for newly born children from the moment of birth.
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Section 3923.27 — Hospitalization coverage for mental illness.
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Section 3923.28 — Outpatient coverage for mental or emotional disorders.
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Section 3923.29 — Outpatient, inpatient, and intermediate primary care benefits for alcoholism.
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Section 3923.30 — Requiring provision of coverage of treatment of mental or nervous disorders and alcoholism.
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Section 3923.31 — Right to rescind individual policy of sickness and accident insurance.
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Section 3923.32 — Right of family member to continue coverage after subscriber's death or upon change in marital relation to subscriber.
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Section 3923.33 — Medicare supplement policy definitions.
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Section 3923.36 — Excluding coverage of illness or injury covered by workers' compensation.
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Section 3923.37 — Prohibiting exclusion or reduction of benefits because of benefits payable under supplemental policy.
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Section 3923.38 — Continuing policy upon termination of employment.
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Section 3923.39 — Consolidated corporation cancelling individual policy for nonpayment.
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Section 3923.40 — Coverage of adopted children.
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Section 3923.041 — Policies with prior authorization requirement provisions.
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Section 3923.41 — Long-term care insurance definitions.
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Section 3923.42 — Citing provisions - applicability.
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Section 3923.43 — Evidence to be filed by long-term care insurance association.
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Section 3923.44 — Standards for full and fair disclosure for sale of long-term care insurance policies.
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Section 3923.45 — Forms.
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Section 3923.46 — Rates for individual policy.
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Section 3923.47 — Rules.
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Section 3923.48 — Violation is unfair and deceptive insurance practice.
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Section 3923.49 — Establishing outreach program to educate consumers.
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Section 3923.50 — Notifying department of job and family services of long-term care insurance policies that comply with insurance department requirements.
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Section 3923.51 — Group contracts of sickness and accident insurance persons under nineteen who are members of impoverished families.
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Section 3923.52 — Screening mammography and cytologic screening benefits.
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Section 3923.53 — Public employee benefit plan - breast cancer and cervical cancer screening.
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Section 3923.54 — Employee health care benefit plan.
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Section 3923.55 — Policy to include benefits for child health supervision services from moment of birth until age nine.
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Section 3923.56 — Plan to include benefits for child health supervision services from moment of birth until age nine.
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Section 3923.57 — Pre-existing conditions provisions.
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Section 3923.60 — Standard medical reference compendia for coverage of prescription drugs.
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Section 3923.061 — Interest on proceeds payable due to death by sickness or accident.
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Section 3923.61 — Public employee benefit plans - prescription drugs.
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Section 3923.62 — Disclosing determination of usual and customary fee for dental benefits.
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Section 3923.63 — Coverage of inpatient care and follow-up care for mother and her newborn.
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Section 3923.64 — Public employee benefit plans - maternity benefits.
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Section 3923.65 — Coverage for emergency services.
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Section 3923.071 — Policies, applications, riders or indorsements issued prior to 10-1-53.
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Section 3923.80 — Denial of coverage to cancer clinical trial participant.
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Section 3923.81 — Covered person's payments not to exceed insurer payments.
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Section 3923.82 — Coverage for alcohol or drug related losses or expenses.
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Section 3923.83 — Standardized prescription identification information - pharmacy benefits to be included - public employee benefit plan.
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Section 3923.84 — Coverage for autism spectrum disorder.
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Section 3923.85 — Cancer medication; coverage for orally and intravenously administered treatments.
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Section 3923.86 — Statement provided to insureds under vision policy.
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Section 3923.87 — Compliance with section 3959.20.
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Section 3923.89 — Payment or reimbursement to pharmacist.
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Section 3923.90 — Teledentistry to be included in coverage.
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Section 3923.99 — Penalty.
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Section 3923.121 — Association of insurers to provide basic medical coverage to persons 65 or older.
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Section 3923.123 — Association of insurers to provide group health coverage to qualified unemployed persons.
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Section 3923.141 — Agent of the insurer.
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Section 3923.161 — Describing cancellability and renewability provisions clearly and with prominence or emphasis.
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Section 3923.231 — Reimbursement for services of licensed psychologist.
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Section 3923.232 — Reimbursement for services of licensed dentist.
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Section 3923.233 — Reimbursement for services of certified nurse-midwife performing service in collaboration with licensed physician.
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Section 3923.234 — Reimbursement for services of certified mechanotherapist.
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Section 3923.241 — Public employee benefit plans - continuing coverage for dependent children.
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Section 3923.281 — Sickness and accident policies - biologically based mental illness.
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Section 3923.282 — Health coverage plans - biologically based mental illness.
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Section 3923.301 — Requiring provision of coverage for services of certified nurse-midwife performing service in collaboration with licensed physician.
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Section 3923.331 — Statutes applicable to medicare supplement policies.
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Section 3923.332 — Standards for policy provisions of medicare supplement policies and certificates.
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Section 3923.333 — Benefits to be reasonable in relation to premium charged.
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Section 3923.334 — Outline of coverage delivered at time application is made.
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Section 3923.335 — Right to return policy or certificate and have premium refunded.
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Section 3923.336 — Review and approval of advertisement by superintendent.
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Section 3923.337 — Rules.
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Section 3923.338 — Orders of superintendent.
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Section 3923.339 — Severability.
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Section 3923.381 — Continuing coverage under group policy when reservist is called or ordered to active duty.
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Section 3923.382 — Continuing coverage under group plan when reservist is called or ordered to active duty.
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Section 3923.441 — Rescission of long-term care policy for misrepresentation.
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Section 3923.442 — Offer of nonforfeiture benefit option with long-term care policy.
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Section 3923.443 — Training required for agents selling long-term care policies.
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Section 3923.444 — Compensation of agents selling long-term care policies.
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Section 3923.571 — Conditions applying to group policies of sickness and accident insurance sold in connection with employment-related group health plan.
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Section 3923.601 — Standardized prescription identification information - pharmacy benefits to be included.
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Section 3923.602 — Medication synchronization for insured.
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Section 3923.851 — Prior authorization requirements or other utilization review measures as conditions of providing coverage of an opioid analgesic prescribed for treatment of chronic pain; exceptions.
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