reglab/housing_qa huggingface dataset:
Ohio Rev Code § 1751.40 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.40 | Insurance Companies Operating as Health Insuring Corporations.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) Notwithstanding any provision of Title XXXIX of the Revised Code, any insurance company holding a certificate of authority issued pursuant to Title XXXIX of the Revised Code, or any corporation that is a subsidiary or affiliate of the insurance company, may apply for and obtain a certificate of authority to organize and operate a health insuring corporation in compliance with this chapter. Notwithstanding any other law that may be inconsistent with this division, any two or more such insurance companies, or subsidiaries or affiliates thereof, may jointly organize and operate a health insuring corporation under this chapter. The business of insurance is deemed to include the providing of health care by a health insuring corporation owned or operated by an insurance company or a subsidiary or affiliate of an insurance company.(B) Notwithstanding any provision of any insurance laws of this state, an insurance company may contract with a health insuring corporation to provide insurance or similar protection against the cost of care provided through health insuring corporations and to provide coverage in the event of the failure of the health insuring corporation to meet its obligations. The enrollees of a health insuring corporation constitute a permissible group under such laws. Among other things, under such contracts, the insurer may make benefit payments to health insuring corporations for health care services rendered by facilities and providers pursuant to a health care plan.
Ohio Rev Code § 1751.42 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.42 | Rehabilitation, Liquidation, Supervision or Conservation of Corporation.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|Any rehabilitation, liquidation, supervision, or conservation of a health insuring corporation shall be deemed to be the rehabilitation, liquidation, supervision, or conservation of an insurance company and shall be conducted under the supervision of the superintendent of insurance pursuant to Chapter 3903. of the Revised Code.
Ohio Rev Code § 1751.44 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.44 | Fees Paid to Superintendent of Insurance.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) Each health insuring corporation shall pay to the superintendent of insurance the following fees:(1) For filing an application for a certificate of authority, fifteen hundred dollars;(2) For filing a request for a service area expansion under section 1751.03 of the Revised Code, three hundred dollars;(3) For filing a major modification under section 1751.03 of the Revised Code, three hundred dollars;(4) For filing each annual report, twenty-five dollars;(5) For all other required filings for which no filing fee is otherwise provided for by this chapter, fifty dollars.(B) All fees collected under this section shall be paid into the state treasury to the credit of the department of insurance operating fund.
Ohio Rev Code § 1751.46 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.46 | Recommendations for Expansion of Service Areas.

Effective: October 16, 2009|Latest Legislation:  House Bill 1 - 128th General Assembly|(A) The superintendent of insurance may contract with qualified persons to make recommendations concerning the determinations required to be made by the superintendent relative to an expansion of a service area pursuant to division (C) of section 1751.03 of the Revised Code, an application for a certificate of authority pursuant to sections 1751.04 and 1751.05 of the Revised Code, a contractual periodic prepayment or premium rate pursuant to section 1751.12 of the Revised Code, and an examination pursuant to division (B) of section 1751.34 of the Revised Code. The recommendations may be accepted in full or in part, or may be rejected, by the superintendent. The total cost of a contract with a qualified person pursuant to this division shall represent the fair market value of the services provided and shall be borne by the health insuring corporation that is the subject of the determination required to be made by the superintendent.(B) No qualified person placed on contract by the superintendent pursuant to division (A) of this section shall have a conflict of interest with the department of insurance or the health insuring corporation.
Ohio Rev Code § 1751.47 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.47 | Adopting Forms, Instructions and Manuals for Providing Financial Information.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) The superintendent of insurance shall adopt the forms, instructions, and manuals prescribed by the national association of insurance commissioners for the preparation and filing of statutory financial statements and other financial information. However, the superintendent may by rule adopt modifications to such prescribed forms, instructions, and manuals as the superintendent considers to be necessary.(B) For purposes of preparing statutory financial statements and other financial information involving circumstances not addressed by the forms, instructions, and manuals prescribed by the national association of insurance commissioners, the superintendent may determine accounting practices and methods to be used by health insuring corporations.(C) The superintendent shall furnish each domestic health insuring corporation a copy of the forms for the filing of those statutory financial statements and other financial information as the corporation is required to file with the superintendent.
Ohio Rev Code § 1751.48 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.48 | Rules.

Effective: October 16, 2009|Latest Legislation:  House Bill 1 - 128th General Assembly|The superintendent of insurance may adopt rules as are necessary to carry out the provisions of this chapter. These rules shall be adopted in accordance with Chapter 119. of the Revised Code.
Ohio Rev Code § 1751.51 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.51 | Restrictions on Choice of Providers.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|If a health care plan of a health insuring corporation covers health care services that may be legally performed by a class of providers referred to in section 3923.23 or 3923.231 of the Revised Code but would restrict an enrollee's ability to receive these health care services from members of that class in any manner that differs from an enrollee's ability under the health care plan to receive these health care services from any other class of providers that may legally perform these health care services, then the health insuring corporation shall do both of the following:(A) Set forth, within any evidence of coverage pertaining to the health care plan, under a heading that reads "Restrictions on Choice of Providers," a clear, concise, and complete statement of the restriction that conforms to the requirements of section 1751.11 of the Revised Code;(B) Set forth, within any solicitation document pertaining to the health care plan and within any solicitation materials pertaining to the health care plan that the health insuring corporation provides to any employer or any employee benefit fund, under a heading that reads "Restrictions on Choice of Providers," a clear, concise, and complete statement of the restriction, such statement being subject to prior approval by the superintendent of insurance in accordance with the same form and content requirements that are specified in section 1751.11 of the Revised Code with regard to evidence of coverage.
Ohio Rev Code § 1751.52 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.52 | Confidentiality of Information.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) All applications, filings, and reports required under this chapter shall be treated as public documents after the date the application, filing, or report becomes effective, regardless of the application of the Uniform Trade Secrets Act set forth in sections 1333.61 to 1333.69 of the Revised Code.(B) Any data or information pertaining to the diagnosis, treatment, or health of any enrollee or applicant for enrollment that is obtained by the health insuring corporation from the enrollee or applicant, or from any health care facility or provider, shall be held in confidence and shall not be disclosed to any person except under one of the following circumstances:(1) To the extent that it may be necessary to carry out the purposes of this chapter;(2) Upon the express consent of the enrollee or applicant;(3) Pursuant to statute or court order for the production of evidence;(4) In the event of claim litigation between such person and the health insuring corporation wherein such data or information is pertinent.(C) A health insuring corporation shall be entitled to claim any statutory privileges against disclosure under division (B) of this section that the facility or provider who furnished the data or information to the health insuring corporation is entitled to claim.
Ohio Rev Code § 1751.521 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.521 | Medical Information Release.

Effective: October 1, 1998|Latest Legislation:  House Bill 361 - 122nd General Assembly|If an enrollee signs a medical information release upon the request of a health insuring corporation, the release shall clearly explain what information may be disclosed under the terms of the release. If a health insuring corporation utilizes this release to request medical information from a health care facility or provider, the health insuring corporation shall provide a copy of the enrollee's release to the health care facility or provider, upon request.
Ohio Rev Code § 1751.55 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.55 | Effect of Workers Compensation Coverage.

Effective: March 22, 1999|Latest Legislation:  House Bill 698 - 122nd General Assembly|A health insuring corporation policy, contract, or agreement shall not be construed to exclude illness or injury upon the ground that the subscriber might have elected to have such illness or injury covered by workers' compensation under Chapter 4123. of the Revised Code unless the policy, contract, or agreement clearly excludes work or occupational related illness or injury, or the policy, contract, or agreement, or a separate writing signed by the subscriber, informs the subscriber that such coverage is excluded and may be available to the subscriber under workers' compensation as the sole proprietor of a business, a member of a partnership, or an officer of a family farm corporation.
Ohio Rev Code § 1751.56 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.56 | Effect of Supplemental Sickness and Accident Insurance Policy.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|(A) No individual or group health insuring corporation policy, contract, or agreement shall be delivered, issued for delivery, or renewed in this state, if the policy, contract, or agreement excludes or reduces the benefits payable to or on behalf of an insured because benefits are also payable or have been paid under a supplemental sickness and accident insurance policy to which all of the following apply:(1) The policy covers a specified disease or a limited plan of coverage.(2) The policy is specifically designed, advertised, represented, and sold as a supplement to other basic sickness and accident insurance coverage.(3) The entire premium for the policy is paid by the insured, the insured's family, or the insured's guardian.(B) This section applies to supplemental sickness and accident insurance policies irrespective of the mode or channel of premium payment to the insurer or of any reduction in the premium by virtue of the insured's membership in any health insuring corporation or the insured's status as an employee.
Ohio Rev Code § 1751.57 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.57 | Conditions Applying to All Individual Health Insuring Corporation Contracts.

Effective: June 30, 1997|Latest Legislation:  House Bill 374 - 122nd General Assembly|(A) The following conditions apply to all individual health insuring corporation contracts:(1) Except as provided in section 2742(b) to (e) of the "Health Insurance Portability and Accountability Act of 1996," Pub. L. No. 104-191, 110 Stat. 1955, 42 U.S.C.A. 300gg-42, as amended, a health insuring corporation that provides individual coverage to an individual shall renew or continue in force such coverage at the option of the individual.(2) Such individual contracts are subject to sections 2743 and 2747 of the "Health Insurance Portability and Accountability Act of 1996."(3) Sections 3924.031 and 3924.032 of the Revised Code shall apply to health insuring corporation contracts offered in the individual market in the same manner as they apply to health benefit plans offered in the small employer market.(B) In accordance with 45 C.F.R. 148.102, this section also applies to all group health insuring corporation contracts that are not sold in connection with an employment-related group health care plan and that provide more than short-term, limited duration coverage.
Ohio Rev Code § 1751.58 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.58 | Conditions Applying to All Group Health Insuring Corporation Contracts Sold in Connection With Employment-Related Group Health Care Plan.

Effective: March 22, 1999|Latest Legislation:  House Bill 698 - 122nd General Assembly|Except as otherwise provided in section 2721 of the "Health Insurance Portability and Accountability Act of 1996," Pub. L. No. 104-191, 110 Stat. 1955, 42 U.S.C.A. 300gg-21, as amended, the following conditions apply to all group health insuring corporation contracts that are sold in connection with an employment-related group health care plan and that are not subject to section 3924.03 of the Revised Code:(A)(1) Except as provided in section 2712(b) to (e) of the "Health Insurance Portability and Accountability Act of 1996," if a health insuring corporation offers coverage in the small or large group market in connection with a group contract, the corporation shall renew or continue in force such coverage at the option of the contract holder.(2) A health insuring corporation may cancel or decide not to renew the coverage of any eligible employee or of a dependent of an eligible employee under the group contract in accordance with division (B) of section 1751.18 of the Revised Code.(B) Such group contracts are subject to division (A)(3) of section 3924.03 and sections 3924.033 and 3924.27 of the Revised Code.(C) Such group contracts shall provide for the special enrollment periods described in section 2701(f) of the "Health Insurance Portability and Accountability Act of 1996."(D) At least once in every twelve-month period, a health insuring corporation shall provide to all late enrollees, as defined in section 3924.01 of the Revised Code, who are identified by the contract holder, the option to enroll in the group contract. The enrollment option shall be provided for a minimum period of thirty consecutive days. All delays of coverage imposed under the group contract, including any affiliation period, shall begin on the date the health insuring corporation receives notice of the late enrollee's application or request for coverage, and shall run concurrently with each other.
Ohio Rev Code § 1751.59 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.59 | Coverage of Adopted Children.

Effective: March 22, 1999|Latest Legislation:  House Bill 698 - 122nd General Assembly|No individual or group health insuring corporation policy, contract, or agreement that makes family coverage available may be delivered, issued for delivery, or renewed in this state, unless the policy, contract, or agreement covers adopted children of the subscriber on the same basis as other dependents.The coverage required by this section is subject to the requirements and restrictions set forth in section 3924.51 of the Revised Code.
Ohio Rev Code § 1751.60 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.60 | Provider or Facility Limited to Seek Compensation for Covered Services Solely From Hic.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Except as provided for in divisions (E) and (F) of this section, every provider or health care facility that contracts with a health insuring corporation to provide health care services to the health insuring corporation's enrollees or subscribers shall seek compensation for covered services solely from the health insuring corporation and not, under any circumstances, from the enrollees or subscribers, except for approved copayments and deductibles. (B) No subscriber or enrollee of a health insuring corporation is liable to any contracting provider or health care facility for the cost of any covered health care services, if the subscriber or enrollee has acted in accordance with the evidence of coverage.(C) Except as provided for in divisions (E) and (F) of this section, every contract between a health insuring corporation and provider or health care facility shall contain a provision approved by the superintendent of insurance requiring the provider or health care facility to seek compensation solely from the health insuring corporation and not, under any circumstances, from the subscriber or enrollee, except for approved copayments and deductibles.(D) Nothing in this section shall be construed as preventing a provider or health care facility from billing the enrollee or subscriber of a health insuring corporation for noncovered services.(E) Upon application by a health insuring corporation and a provider or health care facility, the superintendent may waive the requirements of divisions (A) and (C) of this section when, in addition to the reserve requirements contained in section 1751.28 of the Revised Code, the health insuring corporation provides sufficient assurances to the superintendent that the provider or health care facility has been provided with financial guarantees. No waiver of the requirements of divisions (A) and (C) of this section is effective as to enrollees or subscribers for whom the health insuring corporation is compensated under a provider agreement or risk contract entered into under the medicaid program.(F) The requirements of divisions (A) to (C) of this section apply only to health care services provided to an enrollee or subscriber prior to the effective date of a termination of a contract between the health insuring corporation and the provider or health care facility.
Ohio Rev Code § 1751.61 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.61 | Coverage for Newly Born Child.

Effective: June 30, 1997|Latest Legislation:  House Bill 374 - 122nd General Assembly|(A) Each individual or group evidence of coverage that is delivered, issued for delivery, or renewed by a health insuring corporation in this state, and that makes coverage available for family members of a subscriber, also shall provide that coverage applicable to children is payable from the moment of birth with respect to a newly born child of the subscriber or subscriber's spouse.(B) Coverage for a newly born child is effective for a period of thirty-one days from the date of birth.(C) To continue coverage for a newly born child beyond the thirty-one day period described in division (B) of this section, the subscriber shall notify the health insuring corporation within that period.(D) If payment of a specific premium rate is required to provide coverage under this section for an additional child, the evidence of coverage may require the subscriber to make this payment to the health insuring corporation within the thirty-one day period described in division (B) of this section in order to continue the coverage beyond that period.
Ohio Rev Code § 1751.63 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.63 | Long-Term Care Insurance.

Effective: June 4, 1997|Latest Legislation:  Senate Bill 67 - 122nd General Assembly|Sections 3923.41 to 3923.48 of the Revised Code apply to every health insuring corporation that offers long-term care and that holds a certificate of authority under this chapter.
Ohio Rev Code § 1751.65 (2021)
2021 Ohio Revised Code|Title 17 | Corporations-Partnerships|Chapter 1751 | Health Insuring Corporation Law|Section 1751.65 | Health Insuring Corporation - Prohibited Activities.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) As used in this section, "genetic screening or testing" means a laboratory test of a person's genes or chromosomes for abnormalities, defects, or deficiencies, including carrier status, that are linked to physical or mental disorders or impairments, or that indicate a susceptibility to illness, disease, or other disorders, whether physical or mental, which test is a direct test for abnormalities, defects, or deficiencies, and not an indirect manifestation of genetic disorders.(B) No health insuring corporation shall do either of the following:(1) Consider any information obtained from genetic screening or testing in processing an application for coverage for health care services under an individual or group policy, contract, or agreement or in determining insurability under such a policy, contract, or agreement;(2) Inquire, directly or indirectly, into the results of genetic screening or testing or use such information, in whole or in part, to cancel, refuse to issue or renew, limit benefits under, or set premiums for, an individual or group policy, contract, or agreement.(C) Any health insuring corporation that has engaged in, is engaged in, or is about to engage in a violation of division (B) of this section is subject to the jurisdiction of the superintendent of insurance under section 3901.04 of the Revised Code.