Ohio Revised Code
Chapter 1753 | Physician-Health Plan Partnership Act; Risk-Based Capital for Insurers Model Act
Section 1753.37 | Right to Confidential Hearing - Request for Hearing - Challenge to Determination or Action.

Effective: March 15, 2001
Latest Legislation: House Bill 714 - 123rd General Assembly
(A) A health insuring corporation has the right to a confidential hearing upon receiving any of the following from the superintendent of insurance:
(1) An adjusted RBC report;
(2) Notification that the health insuring corporation's RBC plan or revised RBC plan is unsatisfactory and a statement that the notification constitutes a regulatory action level event for the health insuring corporation;
(3) Notification that the superintendent has determined that the health insuring corporation has failed to adhere to its RBC plan or revised RBC plan, which failure has a substantial adverse effect on the ability of the health insuring corporation to eliminate the conditions leading to a company action level event in accordance with its RBC plan or revised RBC plan;
(4) A corrective order issued under division (B)(3) of section 1753.34 of the Revised Code.
(B) A health insuring corporation shall notify the superintendent of its request for a hearing within five days after its receipt of any item listed in division (A) of this section. Upon the superintendent's receipt of the health insuring corporation's request for a hearing, the superintendent shall set a date for the hearing, which date shall be no less than ten days and no more than thirty days after the superintendent's receipt of the health insuring corporation's request.
(C) A health insuring corporation may challenge any determination or action taken by the superintendent under sections 1753.31 to 1753.43 of the Revised Code at the hearing held pursuant to this section.

Structure Ohio Revised Code

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 1753.37 | Right to Confidential Hearing - Request for Hearing - Challenge to Determination or Action.

Section 1753.38 | Confidentiality.

Section 1753.39 | Foreign Health Insuring Corporation.

Section 1753.40 | Immunity.

Section 1753.41 | When Notices Are Effective.

Section 1753.42 | Requirements for Exemption of Domestic Corporation.

Section 1753.43 | Rules.