reglab/housing_qa huggingface dataset:
Ohio Rev Code § 1751.141 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.141 | Dependent Children Living Outside Health Insuring Corporation's Approved Service Area.

Effective: March 22, 1999|Latest Legislation:  House Bill 698 - 122nd General Assembly|A health insuring corporation shall provide coverage, in accordance with the terms of the contract, for a subscriber's dependent children living outside the health insuring corporation's approved service area if a court order requires the subscriber to provide health care coverage to the dependent children.
Ohio Rev Code § 1751.15 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.15 | [Suspended Eff. 1/1/2014 to 1/1/2022, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Annual Open Enrollment Period.

Effective: October 1, 2011|Latest Legislation:  House Bill 153 - 129th General Assembly|(A) Each health insuring corporation shall accept individuals for open enrollment coverage as provided in sections 3923.58 and 3923.581 of the Revised Code. A health insuring corporation may reinsure coverage of any individual acquired under those sections with the open enrollment reinsurance program in accordance with division (G) of section 3924.11 of the Revised Code. Fixed periodic prepayment rates charged for coverage reinsured by the program shall be established in accordance with section 3924.12 of the Revised Code. (B) This section does not apply to any of the following:(1) Any health insuring corporation that offers only supplemental health care services or specialty health care services;(2) Any health insuring corporation that offers plans only through medicare or medicaid and that has no other commercial enrollment;(3) Any health insuring corporation that offers plans only through other federal health care programs regulated by federal regulatory bodies and that has no other commercial enrollment;(4) Any health insuring corporation that offers plans only through contracts covering officers or employees of the state that have been entered into by the department of administrative services and that has no other commercial enrollment. Last updated January 18, 2022 at 12:44 PM
Ohio Rev Code § 1751.20 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.20 | Unfair, Untrue, Misleading, or Deceptive Acts.

Effective: October 1, 2011|Latest Legislation:  House Bill 153 - 129th General Assembly|(A) No health insuring corporation, or agent, employee, or representative of a health insuring corporation, shall use any advertisement or solicitation document, or shall engage in any activity, that is unfair, untrue, misleading, or deceptive. (B) No health insuring corporation shall use a name that is deceptively similar to the name or description of any insurance or surety corporation doing business in this state.(C) All solicitation documents, advertisements, evidences of coverage, and enrollee identification cards used by a health insuring corporation shall contain the health insuring corporation's name. The use of a trade name, an insurance group designation, the name of a parent company, the name of a division of an affiliated insurance company, a service mark, a slogan, a symbol, or other device, without the name of the health insuring corporation as stated in its articles of incorporation, shall not satisfy this requirement if the usage would have the capacity and tendency to mislead or deceive persons as to the true identity of the health insuring corporation.(D) No solicitation document or advertisement used by a health insuring corporation shall contain any words, symbols, or physical materials that are so similar in content, phraseology, shape, color, or other characteristic to those used by an agency of the federal government or this state, that prospective enrollees may be led to believe that the solicitation document or advertisement is connected with an agency of the federal government or this state.(E) A health insuring corporation that provides basic health care services may use the phrase "health maintenance organization" or the abbreviation "HMO" in its marketing name, advertising, solicitation documents, or marketing literature, or in reference to the phrase "doing business as" or the abbreviation "DBA."(F) This section does not apply to the coverage of beneficiaries enrolled in medicare pursuant to a medicare risk contract or medicare cost contract, or to the coverage of beneficiaries enrolled in the federal employee health benefits program pursuant to 5 U.S.C.A. 8905, or to the coverage of medicaid recipients or to the coverage of beneficiaries under any federal health care program regulated by a federal regulatory body, or to the coverage of beneficiaries under any contract covering officers or employees of the state that has been entered into by the department of administrative services.
Ohio Rev Code § 1751.21 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.21 | Peer Review Committee.

Effective: April 9, 2003|Latest Legislation:  Senate Bill 179 - 124th General Assembly|(A) A peer review committee of a hospital or other health care facility or provider, or of an intermediary organization or health delivery network, with which a health insuring corporation has a contract for health care services may provide to a peer review committee of the health insuring corporation any information, documents, testimony, or other records relating to any matter that is the subject of evaluation or review by the peer review committees, if consent is provided by the health care facility and any physician or other provider whose professional qualifications or activities are the subject of evaluation or review.(B) Any immunity from liability for damages that is provided under section 2305.251 of the Revised Code and that would otherwise apply with respect to the conduct of any peer review committee described in division (A) of this section shall continue to apply, notwithstanding the provision of information as permitted under division (A) of this section.(C) The information, documents, testimony, or other records described in division (A) of this section, if otherwise protected under section 2305.252 of the Revised Code, shall not be construed as being available for discovery or for use in any civil action solely on the basis that they were provided by the peer review committee as permitted under division (A) of this section.
Ohio Rev Code § 1751.25 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.25 | Investment of Funds.

Effective: September 4, 2014|Latest Legislation:  Senate Bill 140 - 130th General Assembly|(A) Except as provided in division (B) of this section, the funds of a health insuring corporation shall be invested only in securities or other investments or assets that constitute permissible investments under section 1751.26 or 3925.08 of the Revised Code. (B) A health insuring corporation may seek permission from the superintendent of insurance to invest funds under Chapter 3906. of the Revised Code and may invest funds under that chapter if such permission is granted.
Ohio Rev Code § 1751.26 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.26 | Investments in Real Estate.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) For purposes of this section, real estate used for "the accommodation of the health insuring corporation's business operations" includes the health insuring corporation's home office, branch office, medical facilities, and field office operations.(B) No health insuring corporation shall purchase, hold, or convey real estate, or any interest in real estate, to be used as an investment for the production of income, to be developed for the production of income, or to be otherwise used for purposes other than the accommodation of the health insuring corporation's business operations, without the prior approval of the superintendent of insurance.(C)(1) No health insuring corporation shall invest, without the prior approval of the superintendent, an amount that exceeds forty per cent of its admitted assets as of the immediately preceding thirty-first day of December in real estate used for the accommodation of the health insuring corporation's business operations from which the health insuring corporation provides health care services.(2) No health insuring corporation shall invest, without the prior approval of the superintendent, an amount that exceeds twenty-five per cent of its admitted assets as of the immediately preceding thirty-first day of December in real estate used for the accommodation of the health insuring corporation's business operations from which the health insuring corporation does not provide health care services.
Ohio Rev Code § 1751.27 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.27 | Deposit of Securities With Superintendent or Custodian.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) Each health insuring corporation holding a certificate of authority to operate in this state shall have deposited securities with the superintendent of insurance or an approved custodian in the amount required by this division.(1) Each health insuring corporation authorized to provide basic health care services shall maintain a deposit of not less than two hundred fifty thousand dollars.(2) Each health insuring corporation authorized to provide only supplemental health care services shall maintain a deposit of not less than one hundred fifty thousand dollars.(3) Each health insuring corporation authorized to provide only specialty health care services shall maintain a deposit of not less than seventy-five thousand dollars.(4) Each health insuring corporation authorized to provide both basic health care services and supplemental health care services shall maintain a deposit of not less than four hundred thousand dollars.(5) Each health insuring corporation authorized to provide both basic health care services and specialty health care services shall maintain a deposit of not less than three hundred twenty-five thousand dollars.(B) The securities deposited under division (A) of this section shall be held as security for the fulfillment of the obligations of the health insuring corporation to its enrollees under this chapter.(C) The interest from the deposit made under division (A) of this section shall accrue to the health insuring corporation that made the deposit. The deposit shall be considered to be an admitted asset of the health insuring corporation.(D) The superintendent shall adopt rules setting forth the qualifications and responsibilities of an approved custodian.
Ohio Rev Code § 1751.271 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.271 | Medicaid Providers - Performance Bond.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Each health insuring corporation that provides coverage to medicaid recipients shall post a performance bond in the amount of three million dollars as security to fulfill the obligations of the health insuring corporation to pay claims of contracted providers for covered health care services provided to medicaid recipients. The bond shall be payable to the department of insurance in the event that the health insuring corporation is placed in rehabilitation or liquidation proceedings under Chapter 3903. of the Revised Code, and shall become a special deposit subject to section 3903.14 or 3903.421 of the Revised Code, as applicable. In lieu of the performance bond, a medicaid health insuring corporation may deposit securities with the superintendent of insurance, acceptable to the superintendent, in the amount of three million dollars, to satisfy the bonding requirements of this section. Upon rehabilitation or liquidation, the securities shall become a special deposit subject to sections 3903.14 and 3903.421 of the Revised Code, as applicable. The health insuring corporation shall receive the interest on the deposited securities as long as the health insuring corporation remains solvent. (B) The bond shall be issued by a surety company licensed with the department of insurance. The bond or deposit, or any replacement bond or deposit, shall be in a form acceptable to the superintendent, and shall remain in effect during the duration of the medicaid health insuring corporation's license and thereafter until all claims against the medicaid health insuring corporation have been paid in full.(C) Documentation of the bond acceptable to the superintendent of insurance shall be filed with the superintendent prior to the issuance of a certificate of authority. Annually, thirty days prior to the renewal of its certificate of authority, every medicaid health insuring corporation shall furnish the superintendent of insurance with evidence that the required bond is still in effect.(D) As used in this section:(1) "Contracted provider" means a provider that has a contract with a medicaid health insuring corporation to provide covered health care services to medicaid recipients.(2) "Medicaid health insuring corporation" means a health insuring corporation that provides health insurance coverage or otherwise assumes claims liabilities for medicaid recipients.(3) "Medicaid recipient" means a person enrolled in the medicaid program.
Ohio Rev Code § 1751.32 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.32 | Annual Report.

Effective: January 1, 2021|Latest Legislation:  House Bill 339 - 133rd General Assembly|Each health insuring corporation, annually, on or before the first day of March, shall file a report with the superintendent of insurance, covering the preceding calendar year. The report shall be verified by an officer of the health insuring corporation, shall be in the form the superintendent prescribes, and shall include: (A) A financial statement of the health insuring corporation, including its balance sheet and receipts and disbursements for the preceding year, which reflect, at a minimum: (1) All premium rate and other payments received for health care services rendered; (2) Expenditures with respect to all categories of providers, facilities, insurance companies, and other persons engaged to fulfill obligations of the health insuring corporation arising out of its health care policies, contracts, certificates, and agreements; (3) Expenditures for capital improvements or additions thereto, including, but not limited to, construction, renovation, or purchase of facilities and equipment. (B) A description of the enrollee population and composition, group and nongroup; (C) A summary of enrollee written complaints and their disposition; (D) A statement of the number of subscriber policies, contracts, certificates, and agreements that have been terminated by action of the health insuring corporation, including the number of enrollees affected; (E) A summary of the information compiled pursuant to division (A)(5) of section 1751.04 of the Revised Code; (F) A current report of the names and addresses of the persons responsible for the conduct of the affairs of the health insuring corporation as required by section 1751.03 of the Revised Code. Additionally, the report shall include the amount of wages, expense reimbursements, and other payments to these persons for services to the health insuring corporation, and shall include a full disclosure of the financial interests related to the operations of the health insuring corporation acquired by these persons during the preceding year. (G) An actuarial opinion in the form prescribed by the superintendent by rule; (H) Any other information relating to the performance of the health insuring corporation that is necessary to enable the superintendent to carry out the superintendent's duties under this chapter.
Ohio Rev Code § 1751.321 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.321 | Audit Report Filed Annually.

Effective: October 16, 2009|Latest Legislation:  House Bill 1 - 128th General Assembly|Each health insuring corporation, annually, on or before the first day of June, shall file with the superintendent of insurance an audit report certified by an independent certified public accountant covering the preceding calendar year. The report shall be verified by an officer of the health insuring corporation and shall be in the form prescribed by the superintendent by rule.
Ohio Rev Code § 1751.33 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.33 | Information to Be Provided to Subscribers.

Effective: December 26, 2011|Latest Legislation:  House Bill 218 - 129th General Assembly|(A) Each health insuring corporation shall provide to its subscribers a description of the health insuring corporation, its method of operation, its service area, its most recent provider list, its complaint procedure established pursuant to section 1751.19 of the Revised Code, and a description of its utilization review, internal review, and external review processes established under sections 1751.77 to 1751.83 and Chapter 3922. of the Revised Code. A health insuring corporation may satisfy this requirement by delivering to its subscribers a document that identifies a web site where the subscriber may view this information. At the request of the subscriber, a health insuring corporation shall provide this information in hard copy by mail. A health insuring corporation providing basic health care services or supplemental health care services shall provide this information annually. A health insuring corporation providing only specialty health care services shall provide this information biennially. (B) Each health insuring corporation, upon the request of a subscriber, shall make available its most recent statutory financial statement.
Ohio Rev Code § 1751.34 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.34 | Examinations by Superintendent and Director.

Effective: October 1, 2011|Latest Legislation:  House Bill 153 - 129th General Assembly|(A) Each health insuring corporation and each applicant for a certificate of authority under this chapter shall be subject to examination by the superintendent of insurance in accordance with section 3901.07 of the Revised Code. Section 3901.07 of the Revised Code shall govern every aspect of the examination, including the circumstances under and frequency with which it is conducted, the authority of the superintendent and any examiner or other person appointed by the superintendent, the liability for the assessment of expenses incurred in conducting the examination, and the remittance of the assessment to the superintendent's examination fund. (B) The superintendent shall make an examination concerning the matters subject to the superintendent's consideration in section 1751.04 of the Revised Code as often as the superintendent considers it necessary for the protection of the interests of the people of this state. The expenses of such examinations shall be assessed against the health insuring corporation being examined in the manner in which expenses of examinations are assessed against an insurance company under section 3901.07 of the Revised Code. Nothing in this division requires the superintendent to make an examination of any of the following:(1) A health insuring corporation that covers solely medicaid recipients;(2) A health insuring corporation that covers solely medicare beneficiaries;(3) A health insuring corporation that covers solely medicaid recipients and medicare beneficiaries.(C) An examination, pursuant to section 3901.07 of the Revised Code, of an insurance company holding a certificate of authority under this chapter to organize and operate a health insuring corporation shall include an examination of the health insuring corporation pursuant to this section and the examination shall satisfy the requirements of divisions (A) and (B) of this section.(D) The superintendent may conduct market conduct examinations pursuant to section 3901.011 of the Revised Code of any health insuring corporation as often as the superintendent considers it necessary for the protection of the interests of subscribers and enrollees. The expenses of such market conduct examinations shall be assessed against the health insuring corporation being examined. All costs, assessments, or fines collected under this division shall be paid into the state treasury to the credit of the department of insurance operating fund.
Ohio Rev Code § 1751.36 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.36 | Notification of Grounds for Denial, Suspension or Revocation of Certificate - Hearing.

Effective: October 16, 2009|Latest Legislation:  House Bill 1 - 128th General Assembly|(A) When the superintendent of insurance has cause to believe that grounds for the denial of an application for a certificate of authority exist, or that grounds for the suspension or revocation of a certificate of authority exist, the superintendent shall notify the applicant or health insuring corporation in writing, specifically stating the grounds for the denial, suspension, or revocation and setting a date of at least thirty days after the notification for a hearing on the matter. (B) After the hearing authorized by division (A) of this section, or upon the failure of the applicant or health insuring corporation to appear at the hearing, the superintendent shall take such action as in accordance with law and the evidence. The action shall be set out in written findings which shall be mailed to the applicant or health insuring corporation. The action of the superintendent is subject to review in accordance with Chapter 119. of the Revised Code.(C) Chapter 119. of the Revised Code applies to proceedings under this section to the extent that it is not in conflict with divisions (A) and (B) of this section.
Ohio Rev Code § 1751.38 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.38 | Applicability of Other Laws.

Effective: September 1, 2002|Latest Legislation:  Senate Bill 129 - 124th General Assembly|(A) As used in this section, "agent" means a person appointed by a health insuring corporation to engage in the solicitation or enrollment of subscribers or enrollees.(B) Agents of health insuring corporations shall be licensed as insurance agents in accordance with Chapter 3905. of the Revised Code.(C) Chapter 3905. of the Revised Code shall apply to health insuring corporations and the agents of health insuring corporations in the same manner in which these sections apply to insurers and agents of insurers.