Effective: March 17, 1998
Latest Legislation: House Bill 248 - 122nd General Assembly
(A) Except as provided in division (D) of this section, every insurer, as defined in division (A) of section 3999.36 of the Revised Code, shall adopt an antifraud program and shall specify in a written plan the procedures it will follow when instances of insurance fraud or suspected insurance fraud are brought to its attention. The insurer shall identify in the written plan the person or persons responsible for the insurer's antifraud program.
(B)(1) An insurer shall develop a written plan required by division (A) of this section within ninety days after obtaining its license to transact business within this state or within ninety days after beginning to engage in the business of insurance within this state and shall thereafter maintain such a written plan.
(2) An insurer engaged in the business of insurance within this state on the effective date of this section shall develop a written plan required by division (A) of this section within ninety days after the effective date of this section and shall thereafter maintain such a written plan.
(C) If an insurer modifies the procedures it follows for instances of insurance fraud or suspected insurance fraud, or if there is a change in the person or persons responsible for the insurer's antifraud program, the insurer shall modify the written plan it maintains pursuant to this section.
(D) The requirements of this section are not applicable to any insurer identified in division (A) of this section that is not engaged in writing direct insurance in this state.
Structure Ohio Revised Code
Chapter 3999 | Crimes Relating to Insurance
Section 3999.02 | False Statement by Medical Examiner of Insurance Company.
Section 3999.03 | Life Insurance - Official or Agent Issuing Fraudulent Policies.
Section 3999.04 | Changing Life Insurance Policy.
Section 3999.05 | Rebates and Other Inducements From Life Insurance Companies.
Section 3999.07 | Sale or Assignment of Premium Note Before Delivery of Policy.
Section 3999.08 | Misrepresentations in Soliciting Insurance.
Section 3999.09 | False or Malicious Statements About Insurance Company.
Section 3999.10 | Misrepresentations in Advertisement by Insurance Company.
Section 3999.11 | Advertisement at Variance With Verified Statement.
Section 3999.12 | Disbursements by Domestic Life Insurance Companies.
Section 3999.13 | Unlawful Reinsurance.
Section 3999.14 | Foreign Life Insurance Companies on the Assessment Plan.
Section 3999.15 | Violations by Accident Insurance Companies and Officers Thereof.
Section 3999.16 | Handicapped Persons - Unfair Discrimination.
Section 3999.18 | Requiring Valid Certificate of Authority.
Section 3999.21 | Applications and Claim Form to Contain Warning Against Insurance Fraud.
Section 3999.22 | Health Insurance Referrals - Prohibited Activities - Exceptions.
Section 3999.32 | Notice of Failure to Make Required Premium Payment or Contribution.
Section 3999.36 | Notice of Impairment to Be Given by Chief Executive.
Section 3999.37 | Prohibiting Fraudulent Acts Concerning Impairment or Insolvency of Insurer.
Section 3999.38 | Prohibiting Payment of Dividend When Insurer Is Impaired.
Section 3999.41 | Insurer to Adopt Antifraud Program.
Section 3999.42 | Insurer to Notify Department of Insurance Fraud.