Ohio Revised Code
Title 39 | Insurance
Chapter 3923 | Sickness and Accident Insurance

Section 3923.061 | Interest on Proceeds Payable Due to Death by Sickness or Accident. - Effective: July 23, 2002 Latest Legislation: House Bill 345 -...

Section 3923.07 | Omission or Substitution of Provisions. - Effective: October 14, 1953 Latest Legislation: Senate Bill 268 -...

Section 3923.071 | Policies, Applications, Riders or Indorsements Issued Prior to 10-1-53. - Effective: October 14, 1953 Latest Legislation: Senate Bill 268 -...

Section 3923.08 | Nonconflicting Provisions Permitted in Policy. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.09 | Validity of Nonconforming Policy. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.10 | Industrial Sickness and Accident Insurance. - Effective: July 1, 1955 Latest Legislation: House Bill 881 -...

Section 3923.11 | Sickness and Accident Insurance on a Franchise Plan. - Effective: October 16, 2009 Latest Legislation: House Bill 1 -...

Section 3923.12 | Group Sickness and Accident Insurance. - Effective: April 11, 1991 Latest Legislation: House Bill 737 -...

Section 3923.121 | Association of Insurers to Provide Basic Medical Coverage to Persons 65 or Older. - Effective: September 1, 2002 Latest Legislation: Senate Bill 129 -...

Section 3923.122 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Option for Conversion From Group Policy to Individual Policy. - Effective: October 16, 2009 Latest Legislation: House Bill 1 -...

Section 3923.123 | Association of Insurers to Provide Group Health Coverage to Qualified Unemployed Persons. - Effective: June 4, 1997 Latest Legislation: Senate Bill 67 -...

Section 3923.13 | Blanket Sickness and Accident Insurance. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.14 | False Statement in Application - Alteration of Written Application. - Effective: July 1, 1955 Latest Legislation: House Bill 881 -...

Section 3923.141 | Agent of the Insurer. - Effective: July 1, 1955 Latest Legislation: House Bill 1 -...

Section 3923.15 | Unfair Discrimination Prohibited. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.16 | Misleading or Deceptive Advertising Prohibited. - Effective: July 1, 1955 Latest Legislation: House Bill 881 -...

Section 3923.161 | Describing Cancellability and Renewability Provisions Clearly and With Prominence or Emphasis. - Effective: January 1, 1980 Latest Legislation: House Bill 43 -...

Section 3923.17 | Prohibition of Rebates Not to Prohibit Commissions or Dividends. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.18 | Rights of Insurer in Defense of Claim Not Waived. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.19 | Benefits Exempt From Legal Process - Exception. - Effective: September 30, 2008 Latest Legislation: Senate Bill 281 -...

Section 3923.20 | Exemptions for Certain Insurance Policies. - Effective: August 30, 1955 Latest Legislation: Senate Bill 294 -...

Section 3923.21 | Prohibition Against Delivery of Policy on Disapproved Insurance Form. - Effective: September 29, 1955 Latest Legislation: Senate Bill 365 -...

Section 3923.22 | Appeal - Applicability of Administrative Procedure Sections. - Effective: October 1, 1953 Latest Legislation: House Bill 1 -...

Section 3923.23 | Reimbursement for Services of Licensed Osteopath, Optometrist, Chiropractor or Podiatrist. - Effective: July 1, 1980 Latest Legislation: House Bill 569 -...

Section 3923.231 | Reimbursement for Services of Licensed Psychologist. - Effective: July 1, 1980 Latest Legislation: House Bill 569 -...

Section 3923.232 | Reimbursement for Services of Licensed Dentist. - Effective: July 1, 1980 Latest Legislation: House Bill 569 -...

Section 3923.233 | Reimbursement for Services of Certified Nurse-Midwife Performing Service in Collaboration With Licensed Physician. - Effective: April 6, 2017 Latest Legislation: House Bill 216 -...

Section 3923.234 | Reimbursement for Services of Certified Mechanotherapist. - Effective: April 30, 1992 Latest Legislation: House Bill 454 -...

Section 3923.24 | Continuing Coverage for Dependent Children. - Effective: October 12, 2016 Latest Legislation: House Bill 158 -...

Section 3923.241 | Public Employee Benefit Plans - Continuing Coverage for Dependent Children. - Effective: October 12, 2016 Latest Legislation: House Bill 158 -...

Section 3923.25 | Kidney Dialysis Benefits. - Effective: April 3, 1972 Latest Legislation: Senate Bill 326 -...

Section 3923.26 | Coverage for Newly Born Children From the Moment of Birth. - Effective: June 30, 1997 Latest Legislation: House Bill 374 -...

Section 3923.27 | Hospitalization Coverage for Mental Illness. - Effective: September 29, 2005 Latest Legislation: House Bill 66 -...

Section 3923.28 | Outpatient Coverage for Mental or Emotional Disorders. - Effective: July 10, 2014 Latest Legislation: House Bill 232 -...

Section 3923.281 | Sickness and Accident Policies - Biologically Based Mental Illness. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.282 | Health Coverage Plans - Biologically Based Mental Illness. - Effective: July 10, 2014 Latest Legislation: House Bill 232 -...

Section 3923.29 | Outpatient, Inpatient, and Intermediate Primary Care Benefits for Alcoholism. - Effective: July 10, 2014 Latest Legislation: House Bill 232 -...

Section 3923.30 | Requiring Provision of Coverage of Treatment of Mental or Nervous Disorders and Alcoholism. - Effective: July 10, 2014 Latest Legislation: House Bill 232 -...

Section 3923.301 | Requiring Provision of Coverage for Services of Certified Nurse-Midwife Performing Service in Collaboration With Licensed Physician. - Effective: April 6, 2017 Latest Legislation: House Bill 216 -...

Section 3923.31 | Right to Rescind Individual Policy of Sickness and Accident Insurance. - Effective: July 1, 1980 Latest Legislation: House Bill 494 -...

Section 3923.32 | Right of Family Member to Continue Coverage After Subscriber's Death or Upon Change in Marital Relation to Subscriber. - Effective: October 6, 1980 Latest Legislation: House Bill 45 -...

Section 3923.33 | Medicare Supplement Policy Definitions. - Effective: June 4, 1997 Latest Legislation: Senate Bill 67 -...

Section 3923.331 | Statutes Applicable to Medicare Supplement Policies. - Effective: March 3, 1996 Latest Legislation: House Bill 374 -...

Section 3923.332 | Standards for Policy Provisions of Medicare Supplement Policies and Certificates. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.333 | Benefits to Be Reasonable in Relation to Premium Charged. - Effective: June 4, 1997 Latest Legislation: Senate Bill 67 -...

Section 3923.334 | Outline of Coverage Delivered at Time Application Is Made. - Effective: March 3, 1996 Latest Legislation: House Bill 374 -...

Section 3923.335 | Right to Return Policy or Certificate and Have Premium Refunded. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.336 | Review and Approval of Advertisement by Superintendent. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.337 | Rules. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.338 | Orders of Superintendent. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.339 | Severability. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.36 | Excluding Coverage of Illness or Injury Covered by Workers' Compensation. - Effective: October 13, 1983 Latest Legislation: House Bill 340 -...

Section 3923.37 | Prohibiting Exclusion or Reduction of Benefits Because of Benefits Payable Under Supplemental Policy. - Effective: October 13, 1983 Latest Legislation: House Bill 340 -...

Section 3923.38 | Continuing Policy Upon Termination of Employment. - Effective: April 1, 2009 Latest Legislation: House Bill 2 -...

Section 3923.381 | Continuing Coverage Under Group Policy When Reservist Is Called or Ordered to Active Duty. - Effective: September 18, 1997 Latest Legislation: Senate Bill 130 -...

Section 3923.382 | Continuing Coverage Under Group Plan When Reservist Is Called or Ordered to Active Duty. - Effective: September 18, 1997 Latest Legislation: Senate Bill 130 -...

Section 3923.39 | Consolidated Corporation Cancelling Individual Policy for Nonpayment. - Effective: October 1, 1987 Latest Legislation: Senate Bill 124 -...

Section 3923.40 | Coverage of Adopted Children. - Effective: June 30, 1997 Latest Legislation: House Bill 374 -...

Section 3923.41 | Long-Term Care Insurance Definitions. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.42 | Citing Provisions - Applicability. - Effective: January 31, 1992 Latest Legislation: House Bill 490 -...

Section 3923.43 | Evidence to Be Filed by Long-Term Care Insurance Association. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.44 | Standards for Full and Fair Disclosure for Sale of Long-Term Care Insurance Policies. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.441 | Rescission of Long-Term Care Policy for Misrepresentation. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.442 | Offer of Nonforfeiture Benefit Option With Long-Term Care Policy. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.443 | Training Required for Agents Selling Long-Term Care Policies. - Effective: September 29, 2013 Latest Legislation: House Bill 59 -...

Section 3923.444 | Compensation of Agents Selling Long-Term Care Policies. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.45 | Forms. - Effective: September 14, 1988 Latest Legislation: House Bill 611 -...

Section 3923.46 | Rates for Individual Policy. - Effective: September 14, 1988 Latest Legislation: House Bill 611 -...

Section 3923.47 | Rules. - Effective: September 10, 2007 Latest Legislation: House Bill 100 -...

Section 3923.48 | Violation Is Unfair and Deceptive Insurance Practice. - Effective: August 14, 1992 Latest Legislation: House Bill 216 -...

Section 3923.49 | Establishing Outreach Program to Educate Consumers. - Effective: September 29, 2013 Latest Legislation: House Bill 59 -...

Section 3923.50 | Notifying Department of Job and Family Services of Long-Term Care Insurance Policies That Comply With Insurance Department Requirements. - Effective: September 29, 2013 Latest Legislation: House Bill 59 -...

Section 3923.51 | Group Contracts of Sickness and Accident Insurance Persons Under Nineteen Who Are Members of Impoverished Families. - Effective: March 30, 2007 Latest Legislation: Senate Bill 116 -...

Section 3923.52 | Screening Mammography and Cytologic Screening Benefits. - Effective: September 23, 2022 Latest Legislation: House Bill 371 -...

Section 3923.53 | Public Employee Benefit Plan - Breast Cancer and Cervical Cancer Screening. - Effective: September 23, 2022 Latest Legislation: House Bill 371 -...

Section 3923.54 | Employee Health Care Benefit Plan. - Effective: March 22, 2005 Latest Legislation: House Bill 331 -...

Section 3923.55 | Policy to Include Benefits for Child Health Supervision Services From Moment of Birth Until Age Nine. - Effective: August 1, 2002 Latest Legislation: House Bill 150 -...

Section 3923.56 | Plan to Include Benefits for Child Health Supervision Services From Moment of Birth Until Age Nine. - Effective: August 1, 2002 Latest Legislation: House Bill 150 -...

Section 3923.57 | Pre-Existing Conditions Provisions. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.571 | Conditions Applying to Group Policies of Sickness and Accident Insurance Sold in Connection With Employment-Related Group Health Plan. - Effective: March 22, 1999 Latest Legislation: House Bill 698 -...

Section 3923.58 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Open Enrollment Coverage - Insurers in the Business of Issuing Individual Policies of Sickness and Accident Insurance. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.581 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Open Enrollment Coverage - Carriers in the Business of Issuing Health Benefit Plans to Individuals or Nonemployer Groups. - Effective: October 16, 2009 Latest Legislation: House Bill 1 -...

Section 3923.582 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Open Enrollment Coverage - Responsibilities of Superintendent of Insurance. - Effective: October 16, 2009 Latest Legislation: House Bill 1 -...

Section 3923.59 | [Suspended Eff. 1/1/2014 to 1/1/2026, per Section 3 of s.b. 9 of the 130th General Assembly, as Amended] Open Enrollment Reinsurance Program. - Effective: June 30, 1997 Latest Legislation: House Bill 374 -...

Section 3923.60 | Standard Medical Reference Compendia for Coverage of Prescription Drugs. - Effective: December 26, 2011 Latest Legislation: House Bill 218 -...

Section 3923.601 | Standardized Prescription Identification Information - Pharmacy Benefits to Be Included. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.602 | Medication Synchronization for Insured. - Effective: March 22, 2020 Latest Legislation: Senate Bill 229 -...

Section 3923.61 | Public Employee Benefit Plans - Prescription Drugs. - Effective: May 8, 1996 Latest Legislation: Senate Bill 107 -...

Section 3923.62 | Disclosing Determination of Usual and Customary Fee for Dental Benefits. - Effective: October 12, 1994 Latest Legislation: House Bill 433 -...

Section 3923.63 | Coverage of Inpatient Care and Follow-Up Care for Mother and Her Newborn. - Effective: April 6, 2017 Latest Legislation: House Bill 216 -...

Section 3923.64 | Public Employee Benefit Plans - Maternity Benefits. - Effective: April 6, 2017 Latest Legislation: House Bill 216 -...

Section 3923.65 | Coverage for Emergency Services. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.80 | Denial of Coverage to Cancer Clinical Trial Participant. - Effective: April 7, 2009 Latest Legislation: Senate Bill 196 -...

Section 3923.81 | Covered Person's Payments Not to Exceed Insurer Payments. - Effective: March 23, 2007 Latest Legislation: Senate Bill 5 -...

Section 3923.82 | Coverage for Alcohol or Drug Related Losses or Expenses. - Effective: April 7, 2009 Latest Legislation: House Bill 493 -...

Section 3923.83 | Standardized Prescription Identification Information - Pharmacy Benefits to Be Included - Public Employee Benefit Plan. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.84 | Coverage for Autism Spectrum Disorder. - Effective: April 6, 2017 Latest Legislation: House Bill 463 -...

Section 3923.85 | Cancer Medication; Coverage for Orally and Intravenously Administered Treatments. - Effective: March 23, 2015 Latest Legislation: House Bill 201 -...

Section 3923.851 | Prior Authorization Requirements or Other Utilization Review Measures as Conditions of Providing Coverage of an Opioid Analgesic Prescribed for Treatment of Chronic Pain; Exceptions. - Effective: April 6, 2017 Latest Legislation: Senate Bill 319 -...

Section 3923.86 | Statement Provided to Insureds Under Vision Policy. - Effective: March 20, 2019 Latest Legislation: House Bill 156 -...

Section 3923.87 | Compliance With Section 3959.20. - Effective: October 17, 2019 Latest Legislation: House Bill 166 -...

Section 3923.89 | Payment or Reimbursement to Pharmacist. - Effective: December 16, 2020 Latest Legislation: House Bill 203 -...

Section 3923.90 | Teledentistry to Be Included in Coverage. - Effective: March 20, 2019 Latest Legislation: Senate Bill 259 -...

Section 3923.99 | Penalty. - Effective: January 1, 1980 Latest Legislation: House Bill 43 -...

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Ohio Revised Code Title 39 | Insurance Chapter 3923 | Sickness and Accident Insurance

Ohio Revised Code
Title 39 | Insurance
Chapter 3923 | Sickness and Accident Insurance