Chapter 1751 HEALTH INSURING CORPORATION LAW
- 1751.01 Health insuring corporation law definitions
- 1751.02 Applying for certificate of authority
- 1751.03 Verification of application
- 1751.04 Review of application and documents by superintendent
- 1751.05 Issuance or denial of certificate of authority
- 1751.06 Powers upon obtaining certificate
- 1751.07 Responsibility for funds
- 1751.08 Inapplicability of insurance laws
- 1751.11 Evidence of coverage
- 1751.111 Standardized prescription identification information - pharmacy benefits to be included
- 1751.12 Contractual periodic prepayment or premium rate
- 1751.13 Contracts with providers and health care facilities
- 1751.14 Termination of coverage of child
- 1751.141 Dependent children living outside health insuring corporation's approved service area
- 1751.15 [Suspended eff. 1/1/2014 through 1/1/2022; See Note] Annual open enrollment period
- 1751.16 [Suspended eff. 1/1/2014 through 1/1/2022; See Note] Option for conversion from group to individual contract
- 1751.17 [Suspended eff. 1/1/2014 through 1/1/2022; See Note] Option for conversion to a contract issued on a direct-payment basis
- 1751.18 Cancelling or failing to renew coverage
- 1751.19 Complaint system
- 1751.20 Unfair, untrue, misleading, or deceptive acts
- 1751.21 Peer review committee
- 1751.25 Investment of funds
- 1751.26 Investments in real estate
- 1751.27 Deposit of securities with superintendent or custodian
- 1751.271 Medicaid providers - performance bond
- 1751.28 Admitted assets held in corporation's name and free and clear of encumbrances, pledges, or hypothecation
- 1751.31 Changes in corporation's solicitation document
- 1751.32 Annual report
- 1751.321 Audit report filed annually
- 1751.33 Information to be provided to subscribers
- 1751.34 Examinations by superintendent and director
- 1751.35 Suspension or revocation of certificate of authority
- 1751.36 Notification of grounds for denial, suspension or revocation of certificate - hearing
- 1751.38 Applicability of other laws
- 1751.40 Insurance companies operating as health insuring corporations
- 1751.42 Rehabilitation, liquidation, supervision or conservation of corporation
- 1751.44 Fees paid to superintendent of insurance
- 1751.45 Administrative penalties - violations
- 1751.46 Recommendations for expansion of service areas
- 1751.47 Adopting forms, instructions and manuals for providing financial information
- 1751.48 Rules
- 1751.51 Restrictions on choice of providers
- 1751.52 Confidentiality of information
- 1751.521 Medical information release
- 1751.53 Continuing coverage after termination of employment
- 1751.54 Continuing coverage after reservist called to duty
- 1751.55 Effect of workers compensation coverage
- 1751.56 Effect of supplemental sickness and accident insurance policy
- 1751.57 Conditions applying to all individual health insuring corporation contracts
- 1751.58 Conditions applying to all group health insuring corporation contracts sold in connection with employment-related group health care plan
- 1751.59 Coverage of adopted children
- 1751.60 Provider or facility limited to seek compensation for covered services solely from HIC
- 1751.61 Coverage for newly born child
- 1751.62 Screening mammography - cytologic screening for cervical cancer
- 1751.63 Long-term care insurance
- 1751.64 [Repealed]
- 1751.65 Health insuring corporation - prohibited activities
- 1751.66 Prescription drugs
- 1751.67 Maternity benefits
- 1751.68 Provisions for medication synchronization for enrollees
- 1751.69 Cancer chemotherapy; coverage for orally and intravenously administered treatments
- 1751.691 [See Note] Prior authorization requirements or other utilization review measures as conditions of providing coverage of an opioid analgesic
- 1751.70 Authorization of payroll deductions for public employees
- 1751.71 Accepting payments for cost of policies, contracts, and agreements
- 1751.72 Policy, contract, or agreement containing a prior authorization requirement
- 1751.73 Implementing quality assurance programs
- 1751.74 Quality assurance program requirements
- 1751.75 Determination that accreditation constitutes compliance
- 1751.77 Utilization review, internal and external review procedure definitions
- 1751.78 Application of provisions
- 1751.79 Utilization review program requirements
- 1751.80 Implementing utilization review programs
- 1751.81 Maintaining written procedures for determining whether requested service is covered
- 1751.811 Internal and external reviews
- 1751.82 Reconsideration of adverse determination
- 1751.821 Determination that accreditation constitutes compliance
- 1751.822 Cooperation with utilization review program
- 1751.823 Filing certificate of compliance
- 1751.83 Maintaining internal review system
- 1751.831 [Repealed]
- 1751.84 [See Note] Coverage for autism spectrum disorder
- 1751.85 [Repealed]
- 1751.86 Violation deemed unfair and deceptive act or practice
- 1751.87 Cause of action not created
- 1751.88 [Repealed]
- 1751.89 Medicare and medicaid exceptions