(d) IsExcept as provided in division (A)(1)(e) of this | 30 |
section, is not directly or indirectly controlled, through
voting | 31 |
membership, representation on its governing board, or
otherwise, | 32 |
by any insurance company, person, firm, or corporation
that sells | 33 |
insurance, any provider, or by persons who are
officers, trustees, | 34 |
or directors of such enterprises, or by any
combination of such | 35 |
enterprises or persons. | 36 |
(B) "Alliance program" or "alliance health care program" | 52 |
means a program sponsored by a small employer health care
alliance | 53 |
that assists small employer members of such small
employer health | 54 |
care alliance or any other small employer health
care alliance to | 55 |
obtain coverage for their employees under one or
more health | 56 |
benefit plans, and that includes at least one
agreement between a | 57 |
small employer health care alliance and an
insurer that contains | 58 |
the insurer's agreement to offer and sell
one or more health | 59 |
benefit plans to such small employers and
contains all of the | 60 |
other features required under section 1731.04
of the Revised Code. | 61 |
(C) "Eligible employees, retirees, their dependents, and | 62 |
members of their families," as used together or separately, means | 63 |
the active employees of a small employer, or retired former | 64 |
employees of a small employer or predecessor firm or
organization, | 65 |
their dependents or members of their families, who
are eligible | 66 |
for coverage under the terms of the applicable
alliance program. | 67 |
(1) A policy covering only accident, credit, dental, | 76 |
disability income, long-term care, hospital indemnity, medicare | 77 |
supplement, specified disease, or vision care, except where any of | 78 |
the
foregoing is
offered as an addition, indorsement, or rider to | 79 |
a health benefit
plan; | 80 |
(H) "Provider" means a hospital, urgent care facility, | 97 |
nursing home, physician, podiatrist, dentist, pharmacist, | 98 |
chiropractor, certified registered nurse anesthetist, dietitian, | 99 |
or other health care provider
licensed by this state, or group of | 100 |
such health care providers. | 101 |
(1) Negotiate and enter into agreements with one or more | 132 |
insurers for the insurers to offer and provide one or more health | 133 |
benefit plans to small employers for their employees and
retirees, | 134 |
and the dependents and members of the families of such
employees | 135 |
and retirees, which coverage may be made available to
enrolled | 136 |
small employers without regard to industrial, rating, or
other | 137 |
classifications among the enrolled small employers under an | 138 |
alliance program, except as otherwise provided under the alliance | 139 |
program, and for the alliance to perform, or contract with others | 140 |
for the performance of, functions under or with respect to the | 141 |
alliance program; | 142 |
(7) If it is a nonprofit corporation created under Chapter | 160 |
1702. of the Revised Code, exercise all powers and authority of | 161 |
such corporations under the laws of the state, or, if otherwise | 162 |
constituted, exercise such powers and authority as apply to it | 163 |
under the applicable laws, and its articles, regulations, | 164 |
constitution, bylaws, or other relevant governing instruments. | 165 |
(B) A small employer health care alliance is not and shall | 166 |
not be regarded for any purpose of law as an insurer, an offeror | 167 |
or seller of any insurance, a partner of or joint venturer with | 168 |
any insurer, an agent of, or solicitor for an agent of, or | 169 |
representative of, an insurer or an offeror or seller of any | 170 |
insurance, an adjuster of claims, or a third-party administrator, | 171 |
and will not be liable under or by reason of any insurance | 172 |
coverage or other health benefit plan provided or not provided by | 173 |
any insurer or by reason of any conditions or restrictions on | 174 |
eligibility or benefits under an alliance program or any
insurance | 175 |
or other health benefit plan provided under an alliance
program or | 176 |
by reason of the application of those conditions or
restrictions. | 177 |
(4) Nothing in division (D)(1) or (2) of this section
shall | 193 |
be construed as inhibiting or preventing an alliance from | 194 |
adopting, imposing, and enforcing rules, conditions, limitations, | 195 |
or restrictions that are based on factors other than the health | 196 |
status of employees or their dependents for the purpose of | 197 |
determining whether a small employer is eligible to become a | 198 |
member of the alliance. Division (D)(1) of this section does not | 199 |
apply to an insurer that sells health coverage to an alliance | 200 |
member under an alliance health care program. | 201 |
(1) "Incidental costs" means the losses and expenses | 212 |
specified by a vehicle protection product warranty related to the | 213 |
failure of a vehicle protection product to deter the theft of a | 214 |
vehicle or facilitate the recovery of the vehicle after it has | 215 |
been stolen. "Incidental costs" may include, but are not limited | 216 |
to, insurance policy deductibles, rental vehicle charges, the | 217 |
difference between the actual value of the stolen vehicle at the | 218 |
time of the theft and the cost of a replacement vehicle, sales | 219 |
taxes, registration fees, transaction fees, and mechanical | 220 |
inspection fees. | 221 |
(2) "Vehicle protection product" means a vehicle protection | 222 |
device, system, or service that is installed on or applied to a | 223 |
vehicle and that is designed to deter the theft of a vehicle or | 224 |
facilitate the recovery of the vehicle after it has been stolen. | 225 |
"Vehicle protection product" includes, but is not limited to, | 226 |
alarm systems, window etch products, body part marking products, | 227 |
steering locks, pedal and ignition locks, fuel and ignition kill | 228 |
switches, and electronic, radio, and satellite tracking devices.
| 229 |
Sec. 3909.05. (A) Any life insurance company organized by
act | 252 |
of congress or under the laws of another state of the United | 253 |
States that transacts any business of insurance in this state | 254 |
shall have and maintain an agent, sometimes referred to as the | 255 |
"statutory agent," upon whom any process, notice, or demand | 256 |
required or permitted by law to be served upon a company may be | 257 |
served. The agent may be a natural person residing in this state | 258 |
or may be a corporation holding a license under the laws of this | 259 |
state that is authorized by its articles of incorporation to act | 260 |
as an agent and that maintains a business address in this state.
A | 261 |
statutory agent need not be a licensed insurance agent. | 262 |
(E) An agent may resign by filing with the superintendent a | 279 |
written notice signed by the agent. The agent shall send a copy
of | 280 |
the notice to the company at the current or last known address
of | 281 |
the company's principal office prior to the date the notice is | 282 |
filed with the superintendent. The notice shall set forth the | 283 |
company's name, the current or last known address of the company, | 284 |
the name and address of the agent, the resignation of the agent, | 285 |
and a statement that a copy of the notice has been sent to the | 286 |
company and the date the copy was sent. The agent's authority | 287 |
shall terminate thirty days after the notice is filed with the | 288 |
superintendent. | 289 |
(G) Any process, notice, or demand required or permitted by | 296 |
law to be served upon a company may be served by delivering a copy | 297 |
of the process, notice, or demand to the agent of record at the | 298 |
address appearing in the superintendent's records. If the
agent | 299 |
cannot be found, the agent no longer has that
address, or the | 300 |
company has failed to maintain an agent as
required by this | 301 |
section, the party desiring that the process,
notice, or demand be | 302 |
served, or its agent, may file with the
superintendent an | 303 |
affidavit stating that one of the foregoing
conditions exists and | 304 |
stating the most recent address of the
company that the party, | 305 |
after diligent search, has been able to
ascertain. Upon the filing | 306 |
of the affidavit, service of process,
notice, or demand may be | 307 |
initiated upon the superintendent as the
company's agent by | 308 |
delivering two copies of the process, notice,
or demand to the | 309 |
superintendent.
The superintendent shall give notice to the | 310 |
company at its
principal office as shown in the superintendent's | 311 |
records or at
the address set forth in the affidavit. The | 312 |
superintendent shall
give notice by regular mail with a copy of | 313 |
the process, notice,
or demand enclosed. After the superintendent | 314 |
has mailed the
appropriate documents, service upon the company is | 315 |
deemed
complete. | 316 |
(K) If a company fails to appoint or maintain an agent or
to | 328 |
notify the superintendent of an agent's change of address, the | 329 |
superintendent shall fine the company not less than twenty-five | 330 |
nor more than two hundred dollars per violation, after the | 331 |
superintendent has provided notice by certified mail and upon the | 332 |
expiration of thirty days from the date of mailing or such further | 333 |
time as the superintendent allows. The superintendent may also | 334 |
charge a company a fifty-dollar fee for each time the | 335 |
superintendent is required to give notice to the company in | 336 |
accordance with division (G) of this section. | 337 |
Sec. 3909.09. No person shall act in this state as agent, or | 342 |
otherwise, in
receiving or procuring applications for life | 343 |
insurance, nor in any manner aid
in transacting the business of | 344 |
any company, partnership, or association
incorporated by or | 345 |
organized under the laws of any foreign government, until
such | 346 |
company, partnership, or association completes the following acts: | 347 |
Sec. 3909.15. If a
company, partnership, or
association, | 363 |
organized under the
laws of any other state or
government, ceases | 364 |
to dotransact the business of life insurance in this state | 365 |
according to law,
it shall appoint, in the manner provided in | 366 |
sections 3909.01
to
3909.17, inclusive, of the Revised Code, in | 367 |
every county in which
an
agency
existed at the date of such | 368 |
discontinuance, one or more
agents for the purpose
of receiving | 369 |
service of process in all
actions upon policies of insurance | 370 |
issued to the citizens of this
state while it was lawfully | 371 |
transacting the
business of insurance
in this state. Service of | 372 |
process upon such agents, in
such
actions, is as valid as actual | 373 |
service upon the company,
partnership, or
association. | 374 |
In every case in which no such agent is appointed, the agent | 375 |
last designated
and acting for the company, partnership, or | 376 |
association shall be deemed
authorized by it to receive service of | 377 |
process. The officer who serves such
process shall also send a | 378 |
copy of the process served on the agent, by mail, to
the address | 379 |
of such company, partnership, or association at the place of its | 380 |
principal or home office at the time it ceased to do business in | 381 |
this state,
and his return must distinctly show that at
least | 382 |
thirty days have elapsed
since the mailing of such copy
before any | 383 |
judgment is rendered in such action. | 384 |
If any such company, partnership, or association ceases to | 385 |
transact business
in this state according to law, the
agents | 386 |
statutory agent last designated by or acting for it
areis deemed | 387 |
to continue as
agentsagent for it,
unless a new statutory agent | 388 |
is appointed, for the purpose of serving process,
and for | 389 |
commencing actions upon any policy or liability issued or | 390 |
contracted
while it transacted business in this state, and service | 391 |
of process upon any
such agent, for such causes, is a valid | 392 |
service upon the company, partnership,
or association. | 393 |
Sec. 3927.03. (A) Any foreign insurance company that | 397 |
transacts any business in this state shall have and maintain an | 398 |
agent, sometimes referred to as the "statutory agent," upon whom | 399 |
any process, notice, or demand required or permitted by law to be | 400 |
served upon a company may be served. The agent may be a natural | 401 |
person residing in this state or may be a corporation holding a | 402 |
license under the laws of this state that is authorized by its | 403 |
articles of incorporation to act as an agent and that maintains a | 404 |
business address in this state. A statutory agent need not be a | 405 |
licensed insurance agent. | 406 |
(E) An agent may resign by filing with the superintendent a | 423 |
written notice signed by the agent. The agent shall send a copy
of | 424 |
the notice to the company at the current or last known address
of | 425 |
the company's principal office prior to the date the notice is | 426 |
filed with the superintendent. The notice shall set forth the | 427 |
company's name, the current or last known address of the company, | 428 |
the name and address of the agent, the resignation of the agent, | 429 |
and a statement that a copy of the notice has been sent to the | 430 |
company and the date the copy was sent. The agent's authority | 431 |
shall terminate thirty days after the notice is filed with the | 432 |
superintendent. | 433 |
(G) Any process, notice, or demand required or permitted by | 440 |
law to be served upon a company may be served by delivering a copy | 441 |
of the process, notice, or demand to the agent of record at the | 442 |
address appearing in the superintendent's records. If the
agent | 443 |
cannot be found, the agent no longer has that
address, or the | 444 |
company has failed to maintain an agent as
required by this | 445 |
section, the party desiring that the process,
notice, or demand be | 446 |
served, or its agent, may file with the
superintendent an | 447 |
affidavit stating that one of the foregoing
conditions exists and | 448 |
stating the most recent address of the
company that the party, | 449 |
after diligent search, has been able to
ascertain. Upon the filing | 450 |
of the affidavit, service of process,
notice, or demand may be | 451 |
initiated upon the superintendent as the
company's agent by | 452 |
delivering two copies of the process, notice,
or demand to the | 453 |
superintendent. The superintendent shall give notice to the | 454 |
company at its
principal office as shown in the superintendent's | 455 |
records or at
the address set forth in the affidavit. The | 456 |
superintendent shall
give notice by regular mail with a copy of | 457 |
the process, notice, or
demand enclosed. After the superintendent | 458 |
has mailed the
appropriate documents, service upon the company is | 459 |
deemed
complete.
| 460 |
(K) If a company fails to appoint or maintain an agent or
to | 472 |
notify the superintendent of an agent's change of address, the | 473 |
superintendent shall fine the company not less than twenty-five | 474 |
nor more than two hundred dollars per violation, after the | 475 |
superintendent has provided notice by certified mail and upon the | 476 |
expiration of thirty days from the date of mailing or such further | 477 |
time as the superintendent allows. The superintendent may also | 478 |
charge a company a fifty-dollar fee for each time the | 479 |
superintendent is required to give notice to the company in | 480 |
accordance with division (G) of this section. | 481 |
(N) If a foreign insurance company ceases to do business in | 490 |
this state according to law, the statutory agent last designated | 491 |
by or acting for it is deemed to continue as agent for it, unless | 492 |
a new statutory agent is appointed, for the purpose of serving | 493 |
process, and for commencing actions upon any policy or liability | 494 |
issued or contracted while it transacted business in this state, | 495 |
and service of process upon any such agent, for such causes, is a | 496 |
valid service upon the company.
| 497 |
Section 3. An insurance company organized under the laws of | 501 |
any other state that was authorized to transact any business of | 502 |
insurance in this state prior to the effective date of this | 503 |
section shall appoint a "statutory agent," as required by this | 504 |
act, no later than the later of the effective date of this section | 505 |
or sixty days after the Superintendent of Insurance issues a | 506 |
bulletin specifying the method by which the insurance company is | 507 |
to appoint a statutory agent. | 508 |
Section 4. Section 3905.421 of the Revised Code, as enacted | 509 |
by this act, shall apply only in connection with vehicle | 510 |
protection products sold or offered for sale in this state on or | 511 |
after the effective date of this act. The enactment of section | 512 |
3905.421 of the Revised Code does not imply that vehicle | 513 |
protection products or vehicle protection product warranties were | 514 |
or should have been subject to regulation under Title XXXIX of the | 515 |
Revised Code prior to the effective date of this act. | 516 |