Effective: March 15, 2001
Latest Legislation: House Bill 714 - 123rd General Assembly
(A) For purposes of sections 1753.31 to 1753.43 of the Revised Code, an "authorized control level event" is any of the following events:
(1) The filing of an RBC report by a health insuring corporation that indicates that the health insuring corporation's total adjusted capital is greater than or equal to its mandatory control level RBC but less than its authorized control level RBC;
(2) The notification by the superintendent of insurance to a health insuring corporation of an adjustment to the health insuring corporation's RBC report, which adjusted RBC report shows the health insuring corporation's total adjusted capital within the range described in division (A)(1) of this section, provided that the health insuring corporation does not challenge the adjusted RBC report under section 1753.37 of the Revised Code;
(3) The notification by the superintendent to a health insuring corporation, following the hearing required under section 1753.37 of the Revised Code, that the superintendent has rejected the health insuring corporation's challenge to an adjusted RBC report showing the health insuring corporation's total adjusted capital within the range described in division (A)(1) of this section;
(4) The failure of a health insuring corporation to respond, in a manner satisfactory to the superintendent, to a corrective order issued under division (B)(3) of section 1753.34 of the Revised Code, provided that the health insuring corporation does not challenge the corrective order under section 1753.37 of the Revised Code;
(5) The failure of a health insuring corporation to respond, in a manner satisfactory to the superintendent, to a corrective order issued under division (B)(3) of section 1753.34 of the Revised Code subsequent to the superintendent's modification of an earlier order or the superintendent's rejection of the health insuring corporation's challenge of the order under section 1753.37 of the Revised Code.
(B) In the case of an authorized control level event, the superintendent shall do the following:
(1) Take the actions required under section 1753.34 of the Revised Code for regulatory action level events;
(2) If the superintendent considers it to be in the best interests of the subscribers and creditors of the health insuring corporation and of the public, take such actions as are necessary to place the health insuring corporation under regulatory control under sections 3903.01 to 3903.59 of the Revised Code. The authorized control level event shall be deemed sufficient grounds for the superintendent to take action under sections 3903.01 to 3903.59 of the Revised Code. Nothing in sections 1753.31 to 1753.43 of the Revised Code shall impair or restrict the rights, powers, and protections afforded to the superintendent and to health insuring corporations under sections 3903.01 to 3903.59 of the Revised Code.
Structure Ohio Revised Code
Title 17 | Corporations-Partnerships
Chapter 1753 | Physician-Health Plan Partnership Act; Risk-Based Capital for Insurers Model Act
Section 1753.01 | Physician-Health Plan Partnership Act Definitions.
Section 1753.06 | Notice of Status of the Provider's Application.
Section 1753.07 | Information Given to Provider.
Section 1753.09 | Terminating Participation of Provider.
Section 1753.10 | Categories of Providers.
Section 1753.13 | Obtaining Covered Obstetric and Gynecological Services Without Referral.
Section 1753.14 | Procedures for Standing Referrals to Specialists.
Section 1753.16 | Retroactively Denying Authorization.
Section 1753.21 | Prescription Drugs.
Section 1753.23 | Internal Technology Assessment Process.
Section 1753.28 | Emergency Services Coverage.
Section 1753.30 | Other Insurance Provisions.
Section 1753.31 | Risk-Based Capital for Insurers Model Act Definitions.
Section 1753.32 | Annual Report.
Section 1753.33 | Company Action Level Event.
Section 1753.34 | Regulatory Action Level Event.
Section 1753.35 | Authorized Control Level Event.
Section 1753.36 | Mandatory Control Level Event.
Section 1753.38 | Confidentiality.
Section 1753.39 | Foreign Health Insuring Corporation.
Section 1753.41 | When Notices Are Effective.
Section 1753.42 | Requirements for Exemption of Domestic Corporation.