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Ohio Revised Code - Title XXXIX Insurance - Chapter 3901: Superintendent of Insurance
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Ohio Laws > Insurance > Ohio Revised Code - Title XXXIX Insurance - Chapter 3901: Superintendent of Insurance
- 3901.01 Department of insurance.
There is hereby created a department of insurance which shall have all powers and perform all duties formerly vested in and imposed upon the department...
- 3901.011 Superintendent of insurance - powers and duties.
The superintendent of insurance shall be the chief executive officer and director of the department of insurance and shall have all the powers and perform...
- 3901.02 Appointment or hiring of employees.
The superintendent of insurance may appoint such employees as the prompt dispatch of business requires, including skilled and competent persons to examine and report on...
- 3901.021 [Effective Until 5/26/2010] Department of insurance operating fund.
(A) Three-fourths of all appointment and other fees collected under section 3905.10 and division (B) of section 3905.20 of the Revised Code shall be paid...
- 3901.03 Warden - duties - office of warden.
The superintendent of insurance shall appoint a warden who shall investigate all reported violations of law relating to insurance, and perform such other duties in...
- 3901.04 Superintendent - specific powers.
(A) As used in this section: (1) "Laws of this state relating to insurance" include but are not limited to Chapter 1751. notwithstanding section 1751.08,...
- 3901.041 Rule-making and adjudicating powers of superintendent.
The superintendent of insurance shall adopt, amend, and rescind rules and make adjudications, necessary to discharge the superintendent's duties and exercise the superintendent's powers, including,...
- 3901.042 Service and transaction fees.
The superintendent of insurance may adopt rules in accordance with Chapter 119. of the Revised Code for the purpose of implementing Amended Substitute House Bill...
- 3901.043 Fees for services or transactions performed by department of insurance.
The superintendent of insurance may adopt rules in accordance with Chapter 119. of the Revised Code to establish reasonable fees for any service or transaction...
- 3901.044 Rules for implementing health insurance portability and accountability act.
The superintendent of insurance may adopt rules in accordance with Chapter 119. of the Revised Code that the superintendent considers necessary and advisable for the...
- 3901.045 Receiving confidential or privileged documents and information.
(A) The superintendent of insurance may receive documents and information, including otherwise confidential or privileged documents and information, from local, state, federal, and international regulatory...
- 3901.05 Deputy superintendent - duties.
In the event of a vacancy in the office of the superintendent of insurance, or in the absence or disability of that officer, or when...
- 3901.051 Assistant superintendent - duties.
The assistant superintendents shall perform such duties of the superintendent and such other duties as the superintendent shall direct. Effective Date: 09-09-1957
- 3901.06 Instruments under seal of the superintendent.
A certificate, assignment, or conveyance executed in pursuance of law by the superintendent of insurance with the seal of his office affixed thereto shall be...
- 3901.07 Examination of financial affairs of insurer.
(A) As used in this section, "insurer" means any person doing or authorized to do any insurance business in this state. (B)(1) Before issuing any...
- 3901.071 Superintendent's examination fund.
All moneys collected by the superintendent of insurance for expenses incurred by the superintendent in conducting examinations pursuant to the Revised Code of the financial...
- 3901.08 Information from banks.
The superintendent of insurance may make written requisitions upon the officers or directors of any national bank, state bank, or state bank and trust company...
- 3901.09 Duty of bank officers.
Any officer or director of any national bank, state bank, or state bank and trust company of this state, and any clearing corporation, direct participant,...
- 3901.10 Deficiency of company assets.
If it appears to the superintendent of insurance upon satisfactory evidence that the assets of an insurance company, organized under the laws of this state,...
- 3901.11 Acquisition of stock of other insurers.
Any domestic insurer and any foreign or alien insurer authorized to do business in this state may retain, invest in, or acquire the whole or...
- 3901.12 Interlocking directorate.
Any person otherwise qualified may be a director of two or more insurers which are competitors or which have a common management, but no such...
- 3901.13 Hearing by superintendent.
Whenever the superintendent of insurance has reason to believe that there is a violation of section 3901.11 or 3901.12 of the Revised Code, he shall...
- 3901.14 Record and report of superintendent.
The superintendent of insurance shall preserve a full record of his proceedings, including a concise statement of the condition of each insurance company or association...
- 3901.15 Application of law.
The laws relating to the superintendent of insurance apply to all persons, companies, and associations, whether incorporated or not, engaged in the business of insurance....
- 3901.16 Forfeiture.
Any association, company, or corporation, including a health insuring corporation, which violates any law relating to the superintendent of insurance, any provision of Chapter 1751....
- 3901.17 Personal jurisdiction over foreign or alien insurer.
(A) As used in this section: (1) "Captive insurer" has the meaning defined in section 3905.36 of the Revised Code. (2) "Insurer" includes, but is...
- 3901.18 Requirements for unauthorized foreign or alien insurer to enter an appearance.
(A) Before any unauthorized foreign or alien insurer may enter an appearance in any court action, suit, or proceeding or in any administrative proceeding before...
- 3901.19 Unfair and deceptive practices definitions.
As used in sections 3901.19 to 3901.26 of the Revised Code: (A) "Person" means any individual, corporation, association, partnership, reciprocal exchange, inter-insurer, fraternal benefit society,...
- 3901.20 Prohibition against unfair or deceptive acts.
No person shall engage in this state in any trade practice which is defined in sections 3901.19 to 3901.23 of the Revised Code as, or...
- 3901.21 Unfair and deceptive acts or practices in business of insurance defined.
The following are hereby defined as unfair and deceptive acts or practices in the business of insurance: (A) Making, issuing, circulating, or causing or permitting...
- 3901.211 Lending of money, extension of credit - prohibited acts.
(A)(1) No person may require as a condition precedent to the lending of money or the extension of credit, or any renewal thereof, that the...
- 3901.22 Hearings on violation - orders - administrative remedies.
(A) The superintendent of insurance may conduct hearings to determine whether violations of section 3901.20 of the Revised Code have occurred. Any person aggrieved with...
- 3901.221 Cease-and-desist orders.
If a violation of section 3901.20 of the Revised Code has caused, is causing, or is about to cause substantial and material harm, the superintendent...
- 3901.23 Self-incrimination.
If any person asks to be excused from attending and testifying or from producing any books, papers, records, correspondence, or other documents at any hearing...
- 3901.24 Unlawful advertising.
No unauthorized foreign or alien insurer shall make, issue, circulate, or cause to be made, issued, or circulated, to residents of this state any estimate,...
- 3901.25 Action by superintendent against insurer.
If after thirty days following the giving of the notice mentioned in section 3901.24 of the Revised Code such insurer has failed to cease making,...
- 3901.26 Acts by insurer which constitute appointment of superintendent as attorney - service of statement.
(A) Any of the following acts in this state, effected by mail or otherwise, by any such unauthorized foreign or alien insurer; (1) the issuance...
- 3901.27 Adoption of emergency bylaws.
The board of directors of any domestic insurance company may at any time adopt emergency bylaws, subject to repeal or change by action of those...
- 3901.28 Provisions effective if no emergency bylaws.
In the event that the board of directors of a domestic insurance company has not adopted emergency bylaws, the following provisions shall become effective upon...
- 3901.29 Succession list.
At any time, the board of directors of a domestic insurance company may, by resolution, provide that in the event of an emergency, as described...
- 3901.30 Emergency business location.
At any time, the board of directors of a domestic insurance company may, by resolution, provide that in the event of an emergency, as described...
- 3901.31 Filing statements indicating ownership.
(A) Every person who is directly or indirectly the beneficial owner of more than ten per cent of any class of any equity security of...
- 3901.32 Insurance holding company system definitions.
As used in sections 3901.32 to 3901.37 of the Revised Code: (A) "Affiliate of" or "affiliated with" a specific person means a person that, directly...
- 3901.321 Mergers and acquisitions of domestic insurers.
(A) For the purposes of this section: (1) "Acquiring party" means any person by whom or on whose behalf a merger or other acquisition of...
- 3901.322 Procedure for violations.
(A) Whenever it appears to the superintendent of insurance that any person has committed or is about to commit a violation of section 3901.321 of...
- 3901.323 Jurisdiction.
(A) The courts of this state have personal jurisdiction over both of the following: (1) Every person that is not a resident or domiciliary of,...
- 3901.33 Registration.
(A) Every insurer that is authorized to do business in this state and that is a member of an insurance holding company system shall register...
- 3901.34 Material transactions standards.
(A) Material transactions by registered insurers with their affiliates shall be subject to the following standards: (1) The terms shall be fair and reasonable. (2)...
- 3901.341 Prior review of proposed transactions.
(A) No insurer subject to registration under section 3901.33 of the Revised Code shall enter into any of the following transactions with any person in...
- 3901.35 Requiring production of records.
(A) In addition to the powers which the superintendent has under sections 3901.01 to 3901.31, inclusive, of the Revised Code, relating to the examination of...
- 3901.36 Confidential and privileged treatment of documents and information - exceptions.
(A) All information, documents, and copies thereof obtained by or disclosed to the superintendent of insurance or any other person in the course of an...
- 3901.37 Suspension, revocation or refusal to renew license - civil forfeiture.
(A) Whenever it appears to the superintendent of insurance that any person has committed a violation of section 3901.33, 3901.34, 3901.341, or 3901.35 of the...
- 3901.38 Prompt payments to health care providers definitions.
As used in this section and sections 3901.381 to 3901.3814 of the Revised Code: (A) "Beneficiary" means any policyholder, subscriber, member, employee, or other person...
- 3901.381 [Effective Until 10/16/2010] Third-party payers processing claims for payment for health care services.
(A) Except as provided in sections 3901.382, 3901.383, 3901.384, and 3901.386 of the Revised Code, a third-party payer shall process a claim for payment for...
- 3901.382 Electronic submission of claims.
Beginning six months after the date specified in section 262 of the "Health Insurance Portability and Accountability Act of 1996," 110 Stat. 2027, 1320d-4, on...
- 3901.383 Contractual agreements for payments by third-party payers.
(A) A provider and a third-party payer may do either of the following: (1) Enter into a contractual agreement under which time periods shorter than...
- 3901.384 Untimely claim process.
(A) Subject to division (B) of this section, a third-party payer that requires timely submission of claims for payment for health care services shall process...
- 3901.385 Third-party payer - prohibited acts.
A third-party payer shall not do either of the following: (A) Engage in any business practice that unfairly or unnecessarily delays the processing of a...
- 3901.386 Reimbursement contract - reimbursements to be made directly to hospital - assignment of benefits.
(A) Notwithstanding section 1751.13 or division (I)(2) of section 3923.04 of the Revised Code, a reimbursement contract entered into or renewed on or after June...
- 3901.387 Duplicative claims - claim information system.
(A) When a provider or beneficiary submits a duplicative claim for payment for health care services before the time periods specified in section 3901.381 of...
- 3901.388 Payments considered final - overpayment.
(A) A payment made by a third-party payer to a provider in accordance with sections 3901.381 to 3901.386 of the Revised Code shall be considered...
- 3901.389 Computation of interest.
(A) Any third-party payer that fails to comply with section 3901.381 of the Revised Code, or any contractual payment arrangement entered into under section 3901.383...
- 3901.3810 Complaints by provider or beneficiary - retaliation by payer.
(A) A provider or beneficiary aggrieved with respect to any act of a third-party payer that the provider or beneficiary believes to be a violation...
- 3901.3811 Failure to comply by third-party payer.
(A) No third-party payer shall fail to comply with sections 3901.381 and 3901.384 to 3901.3810 of the Revised Code. (B) The superintendent of insurance may...
- 3901.3812 Administrative remedies.
(A) If, after completion of an examination involving information collected from a six-month period, the superintendent finds that a third-party payer has committed a series...
- 3901.3813 Rules.
The superintendent of insurance may adopt rules as the superintendent considers necessary to carry out the purposes of section 3901.38 and sections 3901.381 to 3901.3812...
- 3901.3814 Exceptions to provisions.
Sections 3901.38 and 3901.381 to 3901.3813 of the Revised Code do not apply to the following: (A) Policies offering coverage that is regulated under Chapters...
- 3901.40 Payment or reimbursement to unlicensed or unaccredited hospital prohibited.
No insurance company, health insuring corporation, or self-insurance plan authorized to do business in this state shall include or provide in its policies or subscriber...
- 3901.41 Repealed.
Effective Date: 09-29-2005
- 3901.42 Annual filing with national association of insurance commissioners.
(A) As used in this section, "actuarial certification" means certification by a member in good standing of the American Academy of Actuaries, or a person...
- 3901.43 Repealed.
Effective Date: 06-18-2002
- 3901.44 Records of insurance fraud investigation.
(A) As used in this section, "insurance fraud investigation" means any investigation conducted by the superintendent of insurance or a designee of the superintendent that...
- 3901.45 Effect of sexual orientation, HIV, or AIDS or related condition.
(A) As used in sections 3901.45 and 3901.46 of the Revised Code: (1) "AIDS," "HIV," "AIDS-related condition," and "HIV test" have the same meanings as...
- 3901.46 Requiring HIV testing.
As used in this section, "membership organization" means a fraternal or other association or group of individuals involved in the same occupation, activity, or interest...
- 3901.47 Administration of claims unpaid due to insolvency of insurer.
(A) As used in this section: (1) "Insurer" means any insurer authorized to write life or sickness and accident insurance in this state under Title...
- 3901.48 Disclosing work papers resulting from conduct of audit.
(A) The original work papers of a certified public accountant performing an audit of an insurance company or health insuring corporation doing business in this...
- 3901.49 Repealed.
Effective Date: 02-09-2004
- 3901.491 Genetic screening or testing.
(A) As used in this section: (1) "Genetic screening or testing" means a laboratory test of a person's genes or chromosomes for abnormalities, defects, or...
- 3901.50 Repealed.
Effective Date: 02-09-2004
- 3901.501 Genetic screening or testing for self-insurance plans.
(A) As used in this section: (1) "Genetic screening or testing" means a laboratory test of a person's genes or chromosomes for abnormalities, defects, or...
- 3901.51 Uncertified securities as deposits definitions.
As used in sections 3901.51 to 3901.55 of the Revised Code: (A) "Clearing corporation" has the same meaning as in section 1308.01 of the Revised...
- 3901.52 Insurance company may place securities in clearing corporation or federal reserve book-entry system.
(A) An insurance company may place or arrange for the placement of securities held in or purchased for its general account and its separate accounts...
- 3901.53 Placement of securities shall satisfy deposit requirements.
(A) Securities that are eligible for deposit under provisions of the insurance laws of this state may be placed with a clearing corporation or held...
- 3901.54 Securities may not be used for other purposes.
No insurance company shall use, for any purpose other than to satisfy the deposit requirements under provisions of the insurance laws of this state, securities...
- 3901.55 Rules.
The superintendent of insurance may adopt rules pursuant to Chapter 119. of the Revised Code to carry out the purposes of sections 3901.51, 3901.52, and...
- 3901.61 Credit for reinsurance ceded definitions.
As used in sections 3901.61 to 3901.65 of the Revised Code: (A) "Assuming insurer" means an insurance company that accepts all or part of the...
- 3901.62 Credit for reinsurance ceded as asset or reduction of liability.
(A) Except as provided in sections 3901.63 and 3901.64 of the Revised Code, a domestic ceding insurer that is authorized to do any insurance business...
- 3901.63 Credit for reinsurance ceded as reduction of liability.
(A) If section 3901.62 of the Revised Code does not apply to the reinsurance ceded to an assuming insurer by a domestic ceding insurer that...
- 3901.64 Terms of reinsurance or security agreement.
(A) A domestic ceding insurer may take credit for any reinsurance ceded as provided in sections 3901.61 to 3901.63 of the Revised Code only if...
- 3901.65 Rules.
The superintendent of insurance may adopt rules, in accordance with Chapter 119. of the Revised Code, to carry out the purposes of sections 3901.61 to...
- 3901.67 Disclosure of material transactions model act definitions.
As used in sections 3901.67 to 3901.70 of the Revised Code: (A) "Material acquisition" means an acquisition, or a series of related acquisitions during any...
- 3901.68 Provisions application.
Sections 3901.67 to 3901.70 of the Revised Code apply to all of the following: (A) Asset acquisitions, including every purchase, lease, exchange, merger, consolidation, succession,...
- 3901.69 Insurer to report material transactions.
(A) Each insurer domiciled in this state shall file a report with the superintendent of insurance disclosing material acquisitions and material dispositions of assets, and...
- 3901.70 Confidentiality of reports - exceptions.
(A) Each report obtained by or disclosed to the superintendent of insurance pursuant to sections 3901.67 to 3901.70 of the Revised Code is confidential and...
- 3901.71 Application of mandated health benefits.
(A) As used in this section, "mandated health benefits" means any required coverage, or required offering of coverage, for the expenses of specified services, treatments,...
- 3901.72 Money advanced to insurance company or health insuring corporation.
Any person may advance to a domestic insurance company or a health insuring corporation any sum of money necessary for the purpose of the insurance...
- 3901.73 Department to forward copy of late filing notice to board of directors.
The department of insurance shall forward a copy of any written notice received from any insurance company or health insuring corporation domiciled in this state...
- 3901.74 Notice of life insurance company discontinuing business.
When a life insurance company doing business in this state decides to discontinue its business, the superintendent of insurance upon the application of the company...
- 3901.75 Notice of insurance companies other than life discontinuing business.
When any insurance company or corporation other than life, which company or corporation has made a deposit with the superintendent of insurance, intends to discontinue...
- 3901.76 Security valuation expense fund.
As used in this section, "securities" means the stocks, bonds, debentures, and other assets subject from time to time to valuation by the committee on...
- 3901.77 Forms, instructions, manuals - determination of accounting practices and methods.
(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...
- 3901.78 Certificate of compliance.
Upon request or in any other circumstance that the superintendent of insurance determines to be appropriate, the superintendent may issue certificates of compliance to insurance...
- 3901.781 Repealed.
Effective Date: 09-29-2005
- 3901.782 Repealed.
Effective Date: 09-29-2005
- 3901.783 Repealed.
Effective Date: 09-29-2005
- 3901.784 Repealed.
Effective Date: 09-29-2005
- 3901.80 Accrediting independent review organizations.
As used in sections 3901.80 to 3901.83 of the Revised Code, "clinical peer" and "physician" have the same meanings as in section 1751.77 of the...
- 3901.81 Utilizing services of clinical peers.
An independent review organization selected under section 3901.80 of the Revised Code to conduct an external review under section 1751.84, 3923.67, or 3923.76 of the...
- 3901.82 Annual report of independent review organization.
(A) Each independent review organization that conducts external reviews under section 1751.84, 1751.85, 3923.67, 3923.68, 3923.76, or 3923.77 of the Revised Code shall annually report...
- 3901.83 Confidentiality of records - exceptions.
(A) When a record containing information pertaining to the medical history, diagnosis, prognosis, or medical condition of an enrollee of a health insuring corporation, insured...
- 3901.84 Immunity.
An independent review organization and any medical expert or clinical peer the organization uses in conducting an external review under section 1751.84, 1751.85, 3923.67, 3923.68,...
- 3901.86 Retaliatory provisions - moneys collected paid to state fire marshal's fund.
(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...
- 3901.99 Penalty.
(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...
Last modified: April 1, 2010
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