Ohio Revised Code
Chapter 3924 | Small Employer Health Benefit Plans; Provision of Health Care Coverage
Section 3924.64 | Administration of Accounts.

Effective: June 30, 1997
Latest Legislation: House Bill 374 - 122nd General Assembly
(A) At the time a medical savings account is opened, an administrator for the account shall be designated. If an employer opens an account for an employee, the employer may designate the administrator. If an account is opened by any person other than an employer, or if an employer chooses not to designate an administrator for an account opened for an employee, the account holder shall designate the administrator. The administrator shall manage the account in a fiduciary capacity for the benefit of the account holder.
(B) Medical savings accounts shall be administered by one of the following:
(1) A federally or state-chartered bank, savings and loan association, savings bank, or credit union;
(2) A trust company authorized to act as a fiduciary;
(3) An insurer authorized under Title XXXIX of the Revised Code to engage in the business of sickness and accident insurance;
(4) A dealer or salesperson licensed under Chapter 1707. of the Revised Code;
(5) An administrator licensed under Chapter 3959. of the Revised Code;
(6) A certified public accountant;
(7) An employer that administers an employee benefit plan subject to regulation under the "Employee Retirement Income Security Act of 1974," 88 Stat. 829, 29 U.S.C.A. 1001, as amended, or that maintains medical savings accounts for its employees;
(8) Health insuring corporations organized under Chapter 1751. of the Revised Code.
(C) Each administrator shall send to the account holder, at least annually, a statement setting forth the balance remaining in the account holder's account and detailing the activity in the account since the last statement was issued. Upon an administrator's receipt of a written request from an account holder for a current statement, the administrator shall promptly send the statement to the account holder.
(D) When an account holder documents to the administrator of the account the account holder's payment of, or the account holder's obligation for, an eligible medical expense for the account holder or the account holder's spouse or dependents, the administrator shall reimburse the account holder for, or shall pay for, the eligible medical expense with funds from the account holder's account, if sufficient funds are available in the account holder's account. If there are not sufficient funds in the account to fully reimburse the account holder or pay the expenses, the administrator shall reimburse the account holder or pay the expenses using whatever funds are in the account. The reimbursement or payment shall be made within thirty days of the administrator's receipt of the documentation. At the time of making the reimbursement or payment, the administrator shall notify the account holder if the medical expense does not count toward meeting the deductible or other obligation for the receipt of benefits that is required by the insurer or other third-party payer providing health coverage to the account holder. The administrator shall keep a record of the amounts disbursed from the account for documented eligible medical expenses and of the dates on which the expenses were incurred. This record shall be made available to any sickness and accident insurer or other third-party payer providing health coverage to the account holder, for use by the insurer or third-party payer in determining whether the account holder has met the deductible or other obligation required for the receipt of benefits from the insurer or third-party payer.
(E) When an account is opened, the administrator shall give written notice to the account holder of the date of the last business day of the administrator's business year.

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.