Effective: May 18, 1988
Latest Legislation: House Bill 284 - 117th General Assembly
No administrator shall do any of the following:
(A) Use plan sponsor funds for any purpose or purposes not specifically set forth in written form by the administrator;
(B) Fail to disclose in written solicitation material and on an on-going basis, at least once annually, to the plan sponsor all of the following:
(1) All fixed plan costs, identifying what each fixed cost includes;
(2) Levels of the specific excess insurance stop-loss deductible;
(3) The aggregate excess insurance stop-loss attachment point factors, including any minimum attachment point factors;
(4) The names of all insurance carriers providing protection for the plan sponsor's plans, and any ownership relationship of five per cent or more between the administrator and such insurance carriers.
(C) Fail to remit insurance company premiums within the policy period or within the time period agreed to in writing between the insurance company and the administrator;
(D) Fail to disclose in written form the method of collecting and holding any plan sponsor's funds.
Structure Ohio Revised Code
Chapter 3959 | Third-Party Administrators
Section 3959.01 | Third-Party Administrator Definitions.
Section 3959.04 | Administrators Tested and Licensed by Superintendent.
Section 3959.05 | License Requirement.
Section 3959.06 | Application for License - Filing Fee.
Section 3959.07 | Action on Application by Superintendent.
Section 3959.08 | Denying Application for License.
Section 3959.09 | Issuing License and Certificate of Authority.
Section 3959.10 | License Renewal.
Section 3959.111 | Access to Information Regarding Maximum Allowable Cost Pricing.
Section 3959.12 | Suspension, Revocation or Nonrenewal of License.
Section 3959.13 | Report of Felony Conviction.
Section 3959.14 | Administrator Prohibitions.
Section 3959.15 | Books and Records.
Section 3959.16 | Preemption of Federal Law.
Section 3959.17 | Effect of Child Support Default on License.
Section 3959.20 | Prohibited Acts Regarding Cost-Sharing, Pharmacy Claims for Reimbursement, Fees.