Ohio Revised Code
Chapter 3924 | Small Employer Health Benefit Plans; Provision of Health Care Coverage
Section 3924.032 | Refusing to Issue Plans in Small Employer Market.

Effective: June 30, 1997
Latest Legislation: House Bill 374 - 122nd General Assembly
(A) A carrier may refuse to issue health benefit plans in the small employer market if the carrier has demonstrated both of the following to the superintendent of insurance:
(1) The carrier does not have the financial reserves necessary to underwrite additional coverage.
(2) The carrier is applying division (A) of this section uniformly to all employers in the small employer market in this state consistent with the applicable laws and rules of this state and without regard to the claims experience of those employers and their employees and dependents or to any health status-related factor relating to such employees and dependents.
(B) A carrier that, pursuant to division (A) of this section, refuses to issue health benefit plans in the small employer market, shall not offer health benefit plans in the small employer market in this state for at least one hundred eighty days after the date the coverage is denied or until the carrier has demonstrated to the superintendent that the carrier has sufficient financial reserves to underwrite additional coverage, whichever is later.
(C) The superintendent may provide for the application of this section on a service-area-specific basis.

Structure Ohio Revised Code

Ohio Revised Code

Title 39 | Insurance

Chapter 3924 | Small Employer Health Benefit Plans; Provision of Health Care Coverage

Section 3924.01 | Small Employer Health Benefit Plans - Provision of Health Care Coverage Definitions.

Section 3924.02 | Health Care Benefit Plans Covered by Chapter.

Section 3924.03 | Health Benefit Plans Covering Small Employers Subject to Conditions.

Section 3924.031 | Carrier Offering Health Benefit Plan in Small Employer Market Through Network Plan.

Section 3924.032 | Refusing to Issue Plans in Small Employer Market.

Section 3924.033 | Information Disclosed by Carrier to Employer.

Section 3924.04 | Limits on Premium Rates - Low Claim Rates.

Section 3924.06 | Demonstrating Compliance Through Actuarial Certification.

Section 3924.07 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Ohio Health Reinsurance Program.

Section 3924.08 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Board of Directors - Plan of Operation.

Section 3924.09 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] General and Specific Powers and Authority of Program.

Section 3924.10 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Recommendations Regarding, Analysis and Adoption of Ohc Plans.

Section 3924.11 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Reinsuring Small Employer Groups or Individuals.

Section 3924.111 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Deductible Amount and Maximum Liability Amount.

Section 3924.12 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Premium Rates.

Section 3924.13 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Apportioning Assessments.

Section 3924.14 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Immunity.

Section 3924.21 | Overcharges.

Section 3924.25 | Prohibiting Exclusion Based on Health Condition.

Section 3924.27 | Prohibiting Premium Increase on the Basis of Any Health Status-Related Factor.

Section 3924.41 | Prohibiting Consideration of Eligibility for Medical Assistance.

Section 3924.42 | Prohibiting Imposing Different Requirements on Department of Job and Family Services.

Section 3924.46 | Prohibiting Denial of Enrollment of Certain Children.

Section 3924.47 | Duties of Health Insurer of Noncustodial Parent.

Section 3924.48 | Parent Required by Court or Administrative Order to Provide Health Care Coverage for Child - Duties of Health Insurer.

Section 3924.49 | Parent Required by Court or Administrative Order to Provide Health Care Coverage for Child - Duties of Parent.

Section 3924.51 | Plan Benefits for Adopted Children.

Section 3924.53 | Coverage for Person in Custody or Confined in Jail.

Section 3924.61 | Medical Savings Account Definitions.

Section 3924.62 | Opening of Medical Savings Account.

Section 3924.63 | Owners of Interest in Medical Savings Account.

Section 3924.64 | Administration of Accounts.

Section 3924.65 | Notice of Tax Status of Deposits.

Section 3924.66 | Account Deducted From Ohio Adjusted Gross Income.

Section 3924.67 | Withdrawals.

Section 3924.68 | Procedure Upon Termination of Employment.

Section 3924.69 | Death of Account Holder.

Section 3924.70 | Advances to Cover Employee's Eligible Medical Expenses.

Section 3924.71 | Funds Disbursed Pursuant to Bankruptcy Protection.

Section 3924.72 | Brochure Explaining Operation of Medical Savings Accounts.

Section 3924.73 | Rights, Privileges, or Protections of Employees or Small Employers.

Section 3924.74 | Coordination of Benefits.