reglab/housing_qa huggingface dataset:
Ohio Rev Code § 3901.812 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.812 | Rights of Pharmacy.

Effective: March 23, 2015|Latest Legislation:  Senate Bill 258 - 130th General Assembly|A pharmacy may do any of the following when a pharmacy audit is performed:(A) Validate a pharmacy record by using original or photocopied records from hospitals, physicians, or other health care providers;(B) Validate one or more claims for payment for the provision of dangerous drugs or pharmacy services by using either of the following:(1) An original pharmacy record or photocopy of the record;(2) An original prescription or photocopy of the prescription in any form that constitutes a valid prescription in this state, including a written prescription, a prescription made through an electronic prescribing system, a prescription delivered by facsimile, a prescription made by issuing an order for medication administration, and the record a pharmacist maintains under section 4729.37 of the Revised Code documenting a prescription received by telephone.(C) Resubmit a disputed or denied claim for payment using any commercially reasonable method of resubmission, including resubmission by facsimile, mail, or electronic means, as long as the time period for resubmissions established by the relevant payer has not expired.
Ohio Rev Code § 3901.813 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.813 | Proceedings After Audit.

Effective: March 23, 2015|Latest Legislation:  Senate Bill 258 - 130th General Assembly|(A) Except as provided in division (B) of this section, all of the following apply after a pharmacy audit is completed:(1) A pharmacy shall be given not less than thirty days from the date of the on-site audit to provide the auditing entity any additional information necessary to complete the preliminary audit report.(2) Not later than sixty business days after the audit is completed, the auditing entity shall deliver a preliminary audit report to the pharmacy that was the subject of the audit.(3) A pharmacy that disputes any finding in the preliminary audit report may submit documentation to the auditing entity to appeal the finding. A pharmacy shall be given not less than thirty business days to make the submission and may request an extension of the time period given. The auditing entity shall grant a request for an extension if it is reasonable.A pharmacy's submission of documentation to appeal the finding shall be made in accordance with the procedure the auditing entity has established under section 3901.814 of the Revised Code.(4)(a) An auditing entity shall deliver a final audit report to the pharmacy that was the subject of the audit. Except as provided in division (A)(4)(b) of this section, the report shall be delivered not later than one hundred twenty business days after the pharmacy's receipt of a preliminary audit report.(b) If an auditing entity has granted a pharmacy's request for an extension of the time to submit documentation to appeal a finding in the preliminary audit report under division (A)(3) of this section, the time limit described in division (A)(4)(a) of this section for the delivery of the final audit report is waived. Instead, the auditing entity shall deliver the final audit report not later than one hundred twenty days after the pharmacy's submission of the documentation.(B) The provisions of division (A) of this section do not apply if the auditing entity has evidence, from its review of claims data, statements, or physical evidence or its use of other investigative methods, indicating that fraud or other intentional or willful misrepresentation exists.
Ohio Rev Code § 3901.814 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.814 | Appeal Process.

Effective: March 23, 2015|Latest Legislation:  Senate Bill 258 - 130th General Assembly|Each auditing entity in this state shall establish in writing separate procedures for a pharmacy to appeal one or more findings in a preliminary audit report issued under section 3901.813 of the Revised Code.
Ohio Rev Code § 3901.815 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.815 | Applicability of Provisions.

Effective: March 23, 2015|Latest Legislation:  Senate Bill 258 - 130th General Assembly|Sections 3901.811 to 3901.814 of the Revised Code shall not apply to an auditing entity that is a medicaid managed care organization if application of those sections to the entity would be in violation of federal law.
Ohio Rev Code § 3901.82 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.82 | Restatement of the Law, Liability Insurance.

Effective: October 29, 2018|Latest Legislation:  Senate Bill 239 - 132nd General Assembly|The "Restatement of the Law, Liability Insurance" that was approved at the 2018 annual meeting of the American law institute does not constitute the public policy of this state and is not an appropriate subject of notice.
Ohio Rev Code § 3901.83 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.83 | Definitions for Sections 3901.83 to 3901.833.

Effective: April 5, 2019|Latest Legislation:  Senate Bill 265 - 132nd General Assembly|As used in sections 3901.83 to 3901.833 of the Revised Code: (A) "Clinical practice guidelines" means a systematically developed statement to assist health care provider and patient decisions with regard to appropriate health care for specific clinical circumstances and conditions. (B) "Clinical review criteria" means the written screening procedures, decision abstracts, clinical protocols, and clinical practice guidelines used by a health plan issuer or utilization review organization to determine whether or not health care services or drugs are appropriate and consistent with medical or scientific evidence. (C) "Health benefit plan" and "health plan issuer" have the same meanings as in section 3922.01 of the Revised Code. (D) "Medical or scientific evidence" has the same meaning as in section 3922.01 of the Revised Code. (E) "Step therapy exemption" means an overriding of a step therapy protocol in favor of immediate coverage of the health care provider's selected prescription drug. (F) "Step therapy protocol" means a protocol or program that establishes a specific sequence in which prescription drugs that are for a specified medical condition and that are consistent with medical or scientific evidence for a particular patient are covered, under either a medical or prescription drug benefit, by a health benefit plan, including both self- administered and physician-administered drugs. (G) "Urgent care services" has the same meaning as in section 3923.041 of the Revised Code.  (H) "Utilization review organization" has the same meaning as in section 1751.77 of the Revised Code.
Ohio Rev Code § 3901.831 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.831 | Implementation of Step Therapy Protocol.

Effective: April 5, 2019|Latest Legislation:  Senate Bill 265 - 132nd General Assembly|(A) If a health plan issuer or a utilization review organization implements a step therapy protocol, that protocol shall be implemented via clinical review criteria that are based on clinical practice guidelines or medical or scientific evidence. (B) When establishing a step therapy protocol, a health plan issuer and a utilization review organization shall also take into account the needs of atypical patient populations and diagnoses when establishing clinical review criteria. (C) This section shall not be construed as requiring either a health plan issuer or the state to set up a new entity to develop clinical review criteria for step therapy protocols.
Ohio Rev Code § 3901.833 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.833 | Adoption of Rules.

Effective: April 5, 2019|Latest Legislation:  Senate Bill 265 - 132nd General Assembly|The superintendent of insurance may adopt rules as necessary to enforce sections 3901.83 to 3901.833 of the Revised Code.
Ohio Rev Code § 3901.86 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.86 | Retaliatory Provisions - Moneys Collected Paid to State Fire Marshal's Fund.

Effective: September 1, 2002|Latest Legislation:  Senate Bill 129 - 124th General Assembly|(A) When the laws of any other state, district, territory, or nation impose any taxes, fines, penalties, license fees, deposits of money, securities, or other obligations or prohibitions on insurance companies of this state doing business in that state, district, territory, or nation, or upon their agents therein, the same obligations and prohibitions shall be imposed upon insurance companies of the other state, district, or nation doing business in this state and upon their agents.When the laws of any other state, district, territory, or nation impose a requirement for countersignature and payment of a fee or commission upon agents of this state for placing any coverage in that state, district, territory, or nation, then the same requirements of countersignature and fee or commission shall be imposed upon agents of that state, district, territory, or nation for placing any coverage in this state.(B) Beginning on July 1, 1993, twenty per cent of the amount that is collected under division (A) of this section from foreign insurance companies that sell fire insurance to residents of this state shall be paid into the state fire marshal's fund created under section 3737.71 of the Revised Code. The director of commerce, with the approval of the director of budget and management, may increase the percentage described in this division so that it will yield an amount that the director of commerce determines necessary to assist in the maintenance and administration of the office of the fire marshal and in defraying the costs of operating the Ohio fire academy established by section 3737.33 of the Revised Code.
Ohio Rev Code § 3901.87 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.87 | No Coverage for Nontherapeutic Abortion.

Effective: January 1, 2021|Latest Legislation:  House Bill 339 - 133rd General Assembly|(A) No qualified health plan shall provide coverage for a nontherapeutic abortion. (B) As used in this section: (1) "Nontherapeutic abortion" has the same meaning as in section 9.04 of the Revised Code. (2) "Qualified health plan" means any qualified health plan as defined in section 1301 of the "Patient Protection and Affordable Care Act," 42 U.S.C. 18021, offered in this state through an exchange created under that act.
Ohio Rev Code § 3901.88 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.88 | Actuarial Study Regarding Costs of Health Care Mandates.

Effective: April 6, 2017|Latest Legislation:  House Bill 463 - 131st General Assembly|The superintendent of insurance shall conduct an actuarial study on the costs of all health care mandates under state law that apply to individual and group health insurance plans that are not subject to the "Employee Retirement Income Security Act of 1974," 29 U.S.C. 1001, et seq. This study shall be delivered electronically to the governor, the senate president, and the speaker of the house not later than two years after the effective date of this section .
Ohio Rev Code § 3901.90 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.90 | Education on Mental Health and Addiction Services Insurance Parity.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|The superintendent of insurance, in consultation with the director of mental health and addiction services, shall develop consumer and payer education on mental health and addiction services insurance parity and establish and promote a consumer hotline to collect information and help consumers understand and access their insurance benefits.The department of insurance and the department of mental health and addiction services shall jointly report annually on the department's efforts, which shall include information on consumer and payer outreach activities and identification of trends and barriers to access and coverage in this state. The departments shall submit the report to the general assembly, the joint medicaid oversight committee, and the governor, not later than the thirtieth day of January of each year.
Ohio Rev Code § 3901.91 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.91 | Adoption or Amendment of Rules Related to Insurance Rating Agencies.

Effective: March 20, 2019|Latest Legislation:  Senate Bill 273 - 132nd General Assembly|When the superintendent of insurance adopts or amends a rule, including a rule related to the superintendent's duties and powers under Chapters 1751. and 1753. and Title XXXIX of the Revised Code or a rule related to an "insurance rating agency" as defined by section 1.65 of the Revised Code, the superintendent shall give consideration to the inclusion in the rule of the definition of "insurance rating agency" found in section 1.65 of the Revised Code.
Ohio Rev Code § 3901.95 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.95 | Direct Primary Care Agreement Not to Be Considered Insurance.

Effective: October 17, 2019|Latest Legislation:  House Bill 166 - 133rd General Assembly|A direct primary care agreement that meets all of the following shall not be considered insurance and nothing in Title XXXIX or Chapter 1739., 1751., or 1753. of the Revised Code shall apply to such an agreement: (A) It is in writing. (B) It is between a patient, or that patient's legal representative, and a health care provider and is related to services to be provided in exchange for the payment of a fee to be paid on a periodic basis. (C) It allows either party to terminate the agreement as specified in the agreement. (D) It requires termination to be accomplished through written notification. (E) It permits termination to take effect immediately upon the other party's receipt of the notification or not more than sixty days after the other party's receipt of the notification. (F) It does not impose a termination penalty or require payment of a termination fee. (G) It describes the health care services to be provided under the agreement and the basis on which a periodic fee is to be paid in exchange for those services. (H) It specifies the periodic fee required and any additional fees that may be charged. (I) It authorizes the periodic fee and any additional fees to be paid by a third party. (J) It prohibits the health services provider from charging or receiving any fee other than the fees prescribed in the agreement for those services prescribed in the agreement. (K) It conspicuously and prominently states that the agreement is not health insurance, is not subject to the insurance laws of this state, and does not meet any individual health insurance mandate that may be required under federal law.
Ohio Rev Code § 3901.99 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3901 | Superintendent of Insurance|Section 3901.99 | Penalty.

Effective: July 1, 1996|Latest Legislation:  Senate Bill 2 - 121st General Assembly|(A) Whoever violates section 3901.09 of the Revised Code shall be fined not less than twenty-five nor more than five hundred dollars.(B) Whoever violates any law relating to the superintendent of insurance, or any law of this state relating to insurance as defined in division (A)(1) of section 3901.04 of the Revised Code, for the violation of which no penalty is otherwise provided in the Revised Code, shall be fined not more than twenty-five thousand dollars, imprisoned not more than six months, or both.(C) Whoever violates section 3901.54 of the Revised Code is guilty of a felony of the fifth degree.(D) Whoever violates division (J)(2) of section 3901.07 of the Revised Code is guilty of a misdemeanor of the first degree.
Ohio Rev Code § 3902.01 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.01 | Purpose of Sections.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) The purpose of sections 3902.01 to 3902.08 of the Revised Code is to establish minimum standards for language used in policies and certificates of life insurance and annuities, credit life insurance and credit disability insurance, and sickness and accident insurance, and subscriber policies or certificates of health insuring corporations, delivered or issued for delivery in this state, to facilitate ease of reading by insureds and subscribers.(B) Sections 3902.01 to 3902.08 of the Revised Code are not intended to increase the risk assumed by insurance companies or other entities subject to sections 3902.01 to 3902.08 of the Revised Code or to supersede their obligation to comply with the substance of other applicable insurance laws. Sections 3902.01 to 3902.08 of the Revised Code are not intended to impede flexibility and innovation in the development of policy forms or content, or to lead to the standardization of policy forms or content.
Ohio Rev Code § 3902.02 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.02 | Insurance Policy and Contract Definitions.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|As used in sections 3902.01 to 3902.08 of the Revised Code:(A) "Policy" or "policy form" means any policy, contract, plan or agreement of life insurance and annuities, credit life insurance and credit disability insurance, and sickness and accident insurance, and subscriber policies, contracts, certificates, and agreements of health insuring corporations, delivered or issued for delivery in this state by any company subject to sections 3902.01 to 3902.08 of the Revised Code; any certificate, contract or policy issued by a fraternal benefit society; any certificate issued pursuant to a group insurance policy delivered or issued for delivery in this state; and any evidence of coverage issued by a health insuring corporation.(B) "Company" or "insurer" means any entity authorized to do the business of life insurance and annuities, sickness and accident insurance, credit life insurance, or credit disability insurance; a fraternal benefit society; and a health insuring corporation.
Ohio Rev Code § 3902.03 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.03 | Policies to Which Sections Apply - Exceptions - Non-English Language Policies.

Effective: January 9, 1980|Latest Legislation:  Senate Bill 92 - 113th General Assembly|(A) Sections 3902.01 to 3902.08 of the Revised Code apply to all policies delivered or issued for delivery in this state by any company on or after the date such forms must be approved under sections 3902.01 to 3902.08 of the Revised Code. Sections 3902.01 to 3902.08 of the Revised Code do not apply to:(1) Any policy that is a security subject to federal jurisdiction;(2) Any group policy, other than a group credit life insurance policy, or a group credit disability insurance policy. This division does not exempt any certificate issued pursuant to a group policy delivered or issued for delivery in this state.(3) Any group annuity contract that serves as a funding vehicle for pension, profit-sharing, or deferred compensation plans;(4) Any form used in connection with, as a conversion from, as an addition to, or in exchange pursuant to a contractual provision for, a policy delivered or issued for delivery on a form approved, or permitted to be issued prior to the dates such forms must be approved pursuant to sections 3902.01 to 3902.08 of the Revised Code;(5) The renewal of a policy delivered or issued for delivery prior to the dates such forms must be approved under sections 3902.01 to 3902.08 of the Revised Code.(B) Any non-English language policy delivered or issued for delivery in this state is deemed to be in compliance with division (A)(1) of section 3902.04 of the Revised Code if the insurer certifies that such policy is translated from an English language policy that complies with division (A)(1) of section 3902.04 of the Revised Code.
Ohio Rev Code § 3902.05 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.05 | Construction.

Effective: January 9, 1980|Latest Legislation:  Senate Bill 92 - 113th General Assembly|Nothing in sections 3902.01 to 3902.08 of the Revised Code shall be construed to negate any law of this state permitting the issuance of any policy form after it has been on file for the time period specified.
Ohio Rev Code § 3902.06 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.06 | Superintendent May Authorize Lower Test Score.

Effective: January 9, 1980|Latest Legislation:  Senate Bill 92 - 113th General Assembly|The superintendent of insurance may authorize a lower score than the Flesch reading ease score required in division (A)(1) of section 3902.04 of the Revised Code whenever, in his discretion, he finds that a lower score meets any of the following conditions:(A) The lower score will provide a more accurate reflection of the readability of a policy form;(B) The lower score is warranted by the nature of a particular policy form or type or class of policy forms;(C) The lower score is caused by certain policy language that is drafted to conform to the requirements of any law, rule, or agency interpretation.
Ohio Rev Code § 3902.07 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.07 | Approval of Policy Form Notwithstanding Provisions of Other Laws.

Effective: January 9, 1980|Latest Legislation:  Senate Bill 92 - 113th General Assembly|A policy form meeting the requirements of section 3902.04 of the Revised Code shall be approved notwithstanding the provisions of any other laws that specify the content of policies, if the policy form provides the policyholders and claimants protection not less favorable than they would be entitled to under such laws.
Ohio Rev Code § 3902.08 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3902 | Insurance Policies and Contracts|Section 3902.08 | Policy Forms Compliance Date.

Effective: January 1, 2021|Latest Legislation:  House Bill 339 - 133rd General Assembly|(A) Except as provided in section 3902.03 of the Revised Code, sections 3902.01 to 3902.08 of the Revised Code apply to all policy forms filed on or after January 9, 1983. No policy form shall be delivered or issued for delivery in this state on or after January 9, 1985 unless approved by the superintendent of insurance, or permitted to be issued, pursuant to sections 3902.01 to 3902.08 of the Revised Code. Any policy form that has been approved or permitted to be issued prior to January 9, 1985, and that meets the standards set by sections 3902.01 to 3902.08 of the Revised Code need not be refiled for approval, but may continue to be lawfully delivered or issued for delivery in this state upon the filing with the superintendent of a list of such forms identified by form number and accompanied by a certificate as to each such form in the manner provided in division (D) of section 3902.04 of the Revised Code. (B) The superintendent may, in the superintendent's discretion, extend the dates in division (A) of this section.