reglab/housing_qa huggingface dataset:
Ohio Rev Code § 3961.03 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3961 | Discount Medical Plans|Section 3961.03 | Written Agreement With Marketer Required.

Effective: March 23, 2007|Latest Legislation:  Senate Bill 5 - 126th General Assembly|(A) Prior to a discount medical plan organization allowing a marketer to market, promote, sell, or distribute a discount medical plan, the organization shall enter into a written agreement with the marketer. This agreement shall prohibit the marketer from using or issuing any advertising, marketing materials, brochures, or discount medical cards without the organization's written approval.(B) A discount medical plan organization is bound by and responsible for a marketer's activities that are within the scope of the marketer's agency relationship with the organization.(C) A discount medical plan organization shall approve in writing all advertisements, marketing materials, brochures, and discount cards prior to a marketer using these materials to market, promote, sell, or distribute the discount medical plan.
Ohio Rev Code § 3961.05 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3961 | Discount Medical Plans|Section 3961.05 | Prohibited Conduct.

Effective: March 23, 2007|Latest Legislation:  Senate Bill 5 - 126th General Assembly|A discount medical plan organization shall not do any of the following:(A) Except when otherwise permitted in sections 3961.01 to 3961.09 of the Revised Code, as a disclaimer of any relationship between discount medical plan benefits and insurance, or in a description of an insurance product connected with a discount medical plan, use the term "insurance" in the organization's advertisements, marketing material, brochures, or discount medical plan cards.(B) Use in the organization's advertisements, marketing material, brochures, or discount medical plan cards the terms "health plan," "coverage," "benefits," "copay," "copayments," "deductible," "pre-existing conditions," "guaranteed issue," "premium," "PPO," "preferred provider organization," or any other terms in a manner that could mislead a person into believing that the discount medical plan is health insurance.(C) Make misleading, deceptive, or fraudulent statements or representations regarding the terms or benefits of the discount medical plan, including, but not limited to, statements or representations regarding discounts, range of discounts, or access to those discounts offered under the discount medical plan.(D) Except for hospital services, have restrictions on access to discount medical plan providers, including, but not limited to, waiting and notification periods.(E) Pay providers fees for medical services or collect or accept money from a member to pay a provider for medical services received under the discount medical plan.
Ohio Rev Code § 3961.06 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3961 | Discount Medical Plans|Section 3961.06 | Cancellation of Membership in Plan.

Effective: March 23, 2007|Latest Legislation:  Senate Bill 5 - 126th General Assembly|(A) A discount medical plan organization shall permit members to cancel membership in a discount medical plan at any time.(B) If a member gives notice of cancellation within thirty days after the date the member receives the written document described in division (C) of section 3961.04 of the Revised Code for the discount medical plan, the discount medical plan organization, within thirty days of the member giving notice of cancellation, shall fully refund any fees except for a nominal fee associated with enrollment costs that shall not exceed thirty dollars.(C) A discount medical plan organization shall not charge or collect a periodic fee after the member has returned to the organization the member's discount medical plan card or given the organization notice of cancellation.(D) Cancellation of membership in a discount medical plan occurs when the member gives notice of cancellation to the discount medical plan organization or marketer by delivering the notice by hand, depositing the notice in a mailbox if the notice is properly addressed to the discount medical plan organization or marketer and postage is prepaid, or sending an electronic message to the discount medical plan organization's or marketer's electronic message address.(E) A discount medical plan organization shall make a pro rata reimbursement of all periodic fees charged to a member, less nominal fees associated with enrollment, if a discount medical plan organization cancels a member's membership for any reason other than the member's failure to pay fees.
Ohio Rev Code § 3961.09 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3961 | Discount Medical Plans|Section 3961.09 | Adoption of Implementing Rules.

Effective: March 23, 2007|Latest Legislation:  Senate Bill 5 - 126th General Assembly|The superintendent of insurance may adopt rules in accordance with Chapter 119. of the Revised Code for purposes of implementing sections 3961.01 to 3961.08 of the Revised Code.
Ohio Rev Code § 3963.05 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3963 | Health Care Contracts|Section 3963.05 | Standard Provider Credentialing Application - Form.

Effective: June 25, 2008|Latest Legislation:  House Bill 125 - 127th General Assembly|(A) The department of insurance shall prescribe the credentialing application form used by the council for affordable quality healthcare (CAQH) in electronic or paper format for physicians. The department of insurance also shall prepare the standard credentialing form for all other providers and shall make the standard credentialing form as simple, straightforward, and easy to use as possible, having due regard for those credentialing forms that are widely in use in the state by contracting entities and that best serve these goals. (B) No contracting entity shall fail to use the applicable standard credentialing form described in division (A) of this section when initially credentialing or recredentialing providers in connection with policies, health care contracts, and agreements providing basic health care services, specialty health care services, or supplemental health care services.(C) No contracting entity shall require a provider to provide any information in addition to the information required by the applicable standard credentialing form described in division (A) of this section in connection with policies, health care contracts, and agreements providing basic health care services, specialty health care services, or supplemental health care services.(D) The credentialing process described in this section does not prohibit a contracting entity from limiting the scope of any participating provider's basic health care services, specialty health care services, or supplemental health care services.(E) The requirement that the department of insurance prepare the standard credentialing form for all other providers does not include preparing the standard credentialing form for a hospital.
Ohio Rev Code § 3963.07 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3963 | Health Care Contracts|Section 3963.07 | Contents of Remittance Notices.

Effective: June 25, 2008|Latest Legislation:  House Bill 125 - 127th General Assembly|(A) All remittance notices sent by a payer, whether written or electronic, shall include both of the following: (1) The name of the payer issuing the payment to the participating provider;(2) The name of the contracting entity through which the payment rate and any discount are claimed, if the contracting entity is different from the payer.(B) Division (A) of this section takes effect March 31, 2009.
Ohio Rev Code § 3963.08 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3963 | Health Care Contracts|Section 3963.08 | Adoption of Implementing Rules.

Effective: June 25, 2008|Latest Legislation:  House Bill 125 - 127th General Assembly|The superintendent of insurance shall adopt any rules necessary for the implementation of this chapter.
Ohio Rev Code § 3963.09 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3963 | Health Care Contracts|Section 3963.09 | Unfair and Deceptive Practices - Market Conduct Examination.

Effective: June 25, 2008|Latest Legislation:  House Bill 125 - 127th General Assembly|(A) A series of violations of this chapter by any person regulated by the department of insurance under Title XVII or Title XXXIX of the Revised Code that, taken together, constitute a pattern or practice of violating this chapter may be defined as an unfair and deceptive insurance practice under sections 3901.19 to 3901.26 of the Revised Code. (B) The superintendent of insurance may conduct a market conduct examination of any person regulated by the department of insurance under Title XVII or Title XXXIX of the Revised Code to determine whether any violation of this chapter has occurred. When conducting that type of examination, the superintendent of insurance may assess the costs of the examination against the person examined. The superintendent may enter into a consent agreement to impose any administrative assessment or fine for conduct discovered that may be a violation of this chapter. All costs, assessments, and fines collected under this section shall be deposited to the credit of the department of insurance operating fund.
Ohio Rev Code § 3963.10 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3963 | Health Care Contracts|Section 3963.10 | Application of Chapter.

Effective: June 25, 2008|Latest Legislation:  House Bill 125 - 127th General Assembly|This chapter does not apply with respect to any of the following: (A) A contract or provider agreement between a provider and the state or federal government, a state agency, or federal agency for health care services provided through a program for medicaid or medicare;(B) A contract for payments made to providers for rendering health care services to claimants pursuant to claims made under Chapter 4121., 4123., 4127., or 4131. of the Revised Code;(C) An exclusive contract between a health insuring corporation and a single group of providers in a specific geographic area to provide or arrange for the provision of health care services.
Ohio Rev Code § 3963.11 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3963 | Health Care Contracts|Section 3963.11 | Prohibited Conduct by Contracting Entities.

Effective: September 29, 2011|Latest Legislation:  House Bill 153 - 129th General Assembly|(A) No contracting entity shall do any of the following: (1) Offer to a provider a health care contract that includes a most favored nation clause;(2) Enter into a health care contract with a provider that includes a most favored nation clause;(3) Amend or renew an existing health care contract previously entered into with a provider so that the contract as amended or renewed adds or continues to include a most favored nation clause.(B) As used in this section:(1) "Contracting entity," "health care contract," "health care services," "participating provider," and "provider" have the same meanings as in section 3963.01 of the Revised Code.(2) "Most favored nation clause" means a provision in a health care contract that does any of the following:(a) Prohibits, or grants a contracting entity an option to prohibit, the participating provider from contracting with another contracting entity to provide health care services at a lower price than the payment specified in the contract;(b) Requires, or grants a contracting entity an option to require, the participating provider to accept a lower payment in the event the participating provider agrees to provide health care services to any other contracting entity at a lower price;(c) Requires, or grants a contracting entity an option to require, termination or renegotiation of the existing health care contract in the event the participating provider agrees to provide health care services to any other contracting entity at a lower price;(d) Requires the participating provider to disclose the participating provider's contractual reimbursement rates with other contracting entities.
Ohio Rev Code § 3964.01 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3964 | Captive Insurance Companies|Section 3964.01 | Definitions.

Effective: September 17, 2014|Latest Legislation:  House Bill 117 - 130th General Assembly|As used in this chapter: (A) "Affiliated company" means any company in the same corporate system as a parent, or a member organization by virtue of common ownership, control, operation, or management.(B) "Captive insurance company" means any insurer that insures only the risks of its parent or affiliated companies of its parent. "Captive insurance company" includes any protected cell captive insurance company formed or licensed under the provisions of this chapter.(C) "Department" means the department of insurance.(D) "Parent" means a corporation, limited liability company, partnership, other entity, or individual that directly or indirectly owns, controls, or holds, with power to vote, more than fifty per cent of either of the following:(1) Securities of a captive insurance company, organized as a stock corporation;(2) Membership interests of a captive insurance company organized as a nonprofit corporation or a limited liability company.(E) "Protected cell captive insurance company" means a captive insurance company organized pursuant to sections 3964.17 to 3964.1710 of the Revised Code.(F) "Qualified actuary" means an individual who is both of the following:(1) A member of the American academy of actuaries;(2) Qualified to provide such certifications as described in the United States qualifications standards promulgated by the American academy of actuaries pursuant to the code of professional conduct adopted by the American academy of actuaries, the society of actuaries, the American society of pension professionals and actuaries, the casualty actuarial society, and the conference of consulting actuaries.(G) "Special purpose financial captive insurance company" means a captive insurance company organized pursuant to sections 3964.19 to 3964.194 of the Revised Code.(H) "Superintendent" means the superintendent of the department of insurance.
Ohio Rev Code § 3964.02 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3964 | Captive Insurance Companies|Section 3964.02 | Authorized Lines of Insurance.

Effective: September 17, 2014|Latest Legislation:  House Bill 117 - 130th General Assembly|(A) A captive insurance company may apply for authority to insure only the following lines of insurance: (1) Commercial multiple peril;(2) Ocean marine;(3) Inland marine;(4) Medical malpractice;(5) Workers' compensation, to the extent permitted by law, but only for the purpose of indemnification of a self-insuring employer pursuant to division (B)(1) of section 4123.82 of the Revised Code;(6) Commercial auto liability;(7) Commercial auto physical damage;(8) Fidelity;(9) Notwithstanding division (C) of this section, a special purpose financial captive may apply to provide reinsurance of life insurance risks of an Ohio domiciled parent or an affiliated company that is authorized to transact the business of life insurance in this state;(10) Except as provided in division (C)(2) of this section, any other line which the superintendent, at the superintendent's sole discretion, permits.(B) A captive insurance company may purchase reinsurance coverage for any risk that a captive insurance company is permitted to write directly.(C)(1) A captive insurance company shall not issue, offer, or present insurance policies or certificates, evidence of coverage, or any other similar documentation, to any person other than its parent or affiliated companies.(2) A captive insurance company shall not do either of the following:(a) Insure or reinsure any personal lines, as defined in division (B) of section 3905.06 of the Revised Code;(b) Insure, offer, or enter a three-party agreement under which the captive agrees to pay a parent or affiliate, agrees to make complete, or become responsible for an obligation in response to the default, acts, or omissions of a third party, the parent, or an affiliate.(D) A captive insurance company may reinsure any risks insured by its parent or an affiliated company, as approved by the superintendent.
Ohio Rev Code § 3964.04 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3964 | Captive Insurance Companies|Section 3964.04 | Name.

Effective: September 17, 2014|Latest Legislation:  House Bill 117 - 130th General Assembly|No captive insurance company shall adopt a name that is the same, deceptively similar, or likely to be confused with, or mistaken for, any other existing business name registered in this state. The name under which a captive insurance company engages in business must contain the word "captive."
Ohio Rev Code § 3964.05 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3964 | Captive Insurance Companies|Section 3964.05 | Capital Requirements.

Effective: September 17, 2014|Latest Legislation:  House Bill 117 - 130th General Assembly|(A) No captive insurance company shall be issued a license unless it possesses and maintains minimum unimpaired, paid-in total capital and surplus as follows: (1) Not less than two hundred fifty thousand dollars;(2) In the case of a protected cell captive insurance company, not less than five hundred thousand dollars.(B) The superintendent may prescribe additional capital and surplus based upon the type, volume, and nature of insurance business transacted.(C) Capital and surplus may be in the form of any of the following:(1) Cash;(2) Marketable securities, as approved by the superintendent;(3) For a captive insurance company other than a special purpose financial captive insurance company, irrevocable, unconditional, and automatically renewable letters of credit that are issued or confirmed by a qualified United States financial institution.(D) For purposes of division (C)(3) of this section, a United States financial institution is qualified if all of the following apply:(1) It is organized under, or, in the case of the United States branch or agency office of a foreign banking organization, is chartered under the laws of the United States or any state thereof.(2) It is regulated, supervised, and examined by federal or state officials that have regulatory authority over banks and trust companies.(3) The superintendent has determined that it meets such standards of financial condition and standing as are necessary and appropriate for purposes of ensuring that its letters of credit will be of a quality that is acceptable to the superintendent, in the superintendent's sole discretion.
Ohio Rev Code § 3964.06 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3964 | Captive Insurance Companies|Section 3964.06 | Extraordinary Distributions.

Effective: September 17, 2014|Latest Legislation:  House Bill 117 - 130th General Assembly|(A) No captive insurance company shall pay any extraordinary dividend or make any other extraordinary distribution to its shareholders or members other than in accordance with this section. The declaration of an extraordinary dividend or distribution shall be conditional and shall confer no rights upon shareholders or members until thirty days after the superintendent has received notice of the declaration thereof and has not, within the thirty-day period, disapproved the dividend or distribution, unless the superintendent approves the dividend or distribution within the thirty-day period. (B) Prior to paying any dividend or distribution, the insurance company shall notify the superintendent on a form provided by the superintendent for informational purposes within five business days following its declaration of any dividend or distribution and at least ten calendar days prior to payment of such dividend or distribution. Such a ten-calendar-day period is to begin on the date that the superintendent receives the notice.(C)(1) For the purposes of this section, an extraordinary dividend or distribution includes any dividend or distribution of cash or other property, whose fair market value, together with that of other dividends or distributions made within the preceding twelve months, exceeds the greater of ten per cent of the insurance company's surplus as regards policy holders as of the thirty-first day of December immediately preceding, or the net income of the insurance company for the twelve-month period ending the thirty-first day of December immediately preceding.(2) Pro rata distributions of any class of the insurance company's own securities shall not be considered an extraordinary distribution under division (C)(1) of this section.(D) Any dividend or distribution paid from a source other than earned surplus shall be considered an extraordinary dividend or extraordinary distribution.(E) In no instance shall any extraordinary dividend or distribution be permitted by a captive insurance company if such dividend or distribution results in a decrease of the unimpaired, total capital and surplus of the captive insurance company below the limits prescribed in section 3964.05 of the Revised Code.(F) For the purposes of this section, "earned surplus" means an amount equal to an insurance company's unassigned funds as set forth in its most recent financial statement submitted to the superintendent, including net unrealized capital gains and losses or revaluation of assets.
Ohio Rev Code § 3964.08 (2021)
2021 Ohio Revised Code|Title 39 | Insurance|Chapter 3964 | Captive Insurance Companies|Section 3964.08 | Examination, Evaluation, and Monitoring.

Effective: September 17, 2014|Latest Legislation:  House Bill 117 - 130th General Assembly|(A) Captive insurance companies shall be examined, evaluated, and monitored pursuant to section 3901.07 of the Revised Code. (B) All examination reports, preliminary examination reports or results, working papers, recorded information, documents and copies thereof produced by, obtained by, or disclosed to the superintendent or any other person in the course of an examination made under this section are confidential and are not subject to subpoena and may not be made public by the superintendent or an employee or agent of the superintendent without the written consent of the company, except to the extent provided in this section. However, nothing in this section shall prevent the superintendent from using such information in the furtherance of the superintendent's regulatory authority under this chapter.(C) The superintendent may, in the superintendent's sole discretion, share documents that are the subject of this section with the chief deputy rehabilitator, the chief deputy liquidator, other deputy rehabilitators and liquidators, and any other person employed by, or acting on behalf of, the superintendent pursuant to Chapter 3901. or 3903. of the Revised Code, with other local, state, federal, and international regulatory and law enforcement agencies, with local, state, and federal prosecutors, and with the national association of insurance commissioners and its affiliates and subsidiaries provided that the recipient agrees to maintain the confidential or privileged status of the confidential or privileged work paper and has authority to do so.