As Reported by the Senate Insurance, Commerce and Labor Committee

125th General Assembly
Regular Session
2003-2004
Sub. H. B. No. 137


REPRESENTATIVES G. Smith, Book, Hughes, Setzer, Gibbs, Olman, Wolpert, D. Evans, T. Patton, Fessler, Brown, Callender, Calvert, Carano, Daniels, C. Evans, Faber, Flowers, Hartnett, Jolivette, Kearns, McGregor, Redfern, Reidelbach, Schmidt, Schneider, Skindell, J. Stewart, Willamowski



A BILL
To amend sections 1731.01, 1731.03, 3909.09, and 1
3909.15, to enact new sections 3909.05 and 3927.03 2
and section 3905.421, and to repeal sections 3
3909.05 and 3927.03 of the Revised Code relative 4
to the appointment of agents by foreign insurance 5
companies doing business in Ohio, vehicle 6
protection product warranties, and the sponsorship 7
of small employer health care alliances by 8
organizations comprised of health care providers 9
or insurance agents.10


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

       Section 1. That sections 1731.01, 1731.03, 3909.09, and 11
3909.15 be amended and new sections 3909.05 and 3927.03 and 12
section 3905.421 of the Revised Code be enacted to read as 13
follows:14

       Sec. 1731.01.  As used in this chapter:15

       (A) "Alliance" or "small employer health care alliance" means 16
an existing or newly created organization that has been granted a 17
certificate of authority by the superintendent of insurance under 18
section 1731.021 of the Revised Code and that is either of the 19
following:20

       (1) A chamber of commerce, trade association, professional21
organization, or any other organization that has all of the22
following characteristics:23

       (a) Is a nonprofit corporation or association;24

       (b) Has members that include or are exclusively small25
employers;26

       (c) Sponsors or is part of a program to assist such small27
employer members to obtain coverage for their employees under one28
or more health benefit plans;29

       (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

       (e) Division (A)(1)(d) of this section does not apply to an 37
organization that is comprised of members who are either insurance 38
agents or providers, that is controlled by the organization's 39
members or by the organization itself, and that elects to offer 40
health insurance exclusively to any or all of the following:41

        (i) Employees and retirees of the organization;42

        (ii) Insurance agents and providers that are members of the 43
organization;44

        (iii) Employees and retirees of the agents or providers 45
specified in division (A)(1)(e)(ii) of this section;46

        (iv) Families and dependents of the employees, providers, 47
agents, and retirees specified in divisions (A)(1)(e)(i), 48
(A)(1)(e)(ii), and (A)(1)(e)(iii) of this section.49

       (2) A nonprofit corporation controlled by one or more50
organizations described in division (A)(1) of this section.51

       (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, and62
members of their families," as used together or separately, means63
the active employees of a small employer, or retired former64
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

       (D) "Enrolled small employer" or "enrolled employer" means a 68
small employer that has obtained coverage for its eligible69
employees from an insurer under an alliance program.70

       (E) "Health benefit plan" means any hospital or medical71
expense policy of insurance or a health care plan provided by an72
insurer, including a health insuring corporation plan, provided by73
or through an insurer, or any combination thereof. "Health benefit 74
plan" does not include any of the following:75

       (1) A policy covering only accident, credit, dental,76
disability income, long-term care, hospital indemnity, medicare77
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

       (2) Coverage issued as a supplement to liability insurance, 81
insurance arising out of a workers' compensation or similar law, 82
automobile medical-payment insurance, or insurance under which 83
benefits are payable with or without regard to fault and which is 84
statutorily required to be contained in any liability insurance 85
policy or equivalent self-insurance;86

       (3) Coverage issued by a health insuring corporation 87
authorized to offer supplemental health care services only.88

       (F) "Insurer" means an insurance company authorized to do the 89
business of sickness and accident insurance in this state or, for 90
the purposes of this chapter, a health insuring corporation91
authorized to issue health care plans in this state.92

       (G) "Participants" or "beneficiaries" means those eligible93
employees, retirees, their dependents, and members of their94
families who are covered by health benefit plans provided by an95
insurer to enrolled small employers under an alliance program.96

       (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

       (I) "Qualified alliance program" means an alliance program102
under which health care benefits are provided to two thousand five 103
hundred or more participants.104

       (J) "Small employer," regardless of its definition in any105
other chapter of the Revised Code, in this chapter means an106
employer that employs no more than one hundred fifty full-time107
employees, at least a majority of whom are employed at locations108
within this state.109

       (1) For this purpose:110

       (a) Each entity that is controlled by, controls, or is under 111
common control with, one or more other entities shall, together 112
with such other entities, be considered to be a single employer.113

       (b) "Full-time employee" means a person who normally works at 114
least twenty-five hours per week and at least forty weeks per year 115
for the employer.116

       (c) An employer will be treated as having one hundred fifty 117
or fewer full-time employees on any day if, during the prior 118
calendar year or any twelve consecutive months during the119
twenty-four full months immediately preceding that day, the mean120
number of full-time employees employed by the employer does not121
exceed one hundred fifty.122

       (2) An employer that qualifies as a small employer for123
purposes of becoming an enrolled small employer continues to be124
treated as a small employer for purposes of this chapter until125
such time as it fails to meet the conditions described in division 126
(J)(1) of this section for any period of thirty-six consecutive 127
months after first becoming an enrolled small employer, unless 128
earlier disqualified under the terms of the alliance program.129

       Sec. 1731.03.  (A) A small employer health care alliance may 130
do any of the following:131

       (1) Negotiate and enter into agreements with one or more132
insurers for the insurers to offer and provide one or more health133
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 an138
alliance program, except as otherwise provided under the alliance139
program, and for the alliance to perform, or contract with others140
for the performance of, functions under or with respect to the141
alliance program;142

       (2) Contract with another alliance for the inclusion of the 143
small employer members of one in the alliance program of the144
other;145

       (3) Provide or cause to be provided to small employers146
information concerning the availability, coverage, benefits,147
premiums, and other information regarding an alliance program and148
promote the alliance program;149

       (4) Provide, or contract with others to provide, enrollment, 150
record keeping, information, premium billing, collection and 151
transmittal, and other services under an alliance program;152

       (5) Receive reports and information from the insurer and153
negotiate and enter into agreements with respect to inspection and 154
audit of the books and records of the insurer;155

       (6) Provide services to and on behalf of an alliance program 156
sponsored by another alliance, including entering into an157
agreement described in division (B) of section 1731.01 of the158
Revised Code on behalf of the other alliance;159

       (7) If it is a nonprofit corporation created under Chapter160
1702. of the Revised Code, exercise all powers and authority of161
such corporations under the laws of the state, or, if otherwise162
constituted, exercise such powers and authority as apply to it163
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 shall166
not be regarded for any purpose of law as an insurer, an offeror167
or seller of any insurance, a partner of or joint venturer with168
any insurer, an agent of, or solicitor for an agent of, or169
representative of, an insurer or an offeror or seller of any170
insurance, an adjuster of claims, or a third-party administrator,171
and will not be liable under or by reason of any insurance172
coverage or other health benefit plan provided or not provided by173
any insurer or by reason of any conditions or restrictions on174
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

       (C) The promotion of an alliance program by an alliance or by 178
an insurer is not and shall not be regarded for any purpose of law 179
as the offer, solicitation, or sale of insurance.180

       (D)(1) No alliance shall adopt, impose, or enforce medical181
underwriting rules for the purpose of determining whether an182
alliance member is eligible to purchase a policy, contract, or183
plan of health insurance or health benefits from any insurer in184
connection with the alliance health care program.185

       (2) No alliance shall reject any applicant for membership in 186
the alliance based on the health status of the applicant's187
employees or their dependents.188

       (3) A violation of division (D)(1) or (2) of this section is 189
deemed to be an unfair and deceptive act or practice in the190
business of insurance under sections 3901.19 to 3901.26 of the191
Revised Code.192

       (4) Nothing in division (D)(1) or (2) of this section shall 193
be construed as inhibiting or preventing an alliance from194
adopting, imposing, and enforcing rules, conditions, limitations,195
or restrictions that are based on factors other than the health196
status of employees or their dependents for the purpose of197
determining whether a small employer is eligible to become a198
member of the alliance. Division (D)(1) of this section does not199
apply to an insurer that sells health coverage to an alliance200
member under an alliance health care program.201

       (E) Health benefit plans offered and sold to alliance members202
that are small employers as defined in section 3924.01 of the 203
Revised Code are subject to sections 3924.01 to 3924.14 of the 204
Revised Code.205

       (F) Any person who represents an alliance in bargaining or 206
negotiating a health benefit plan with an insurer shall disclose 207
to the governing board of the alliance any direct or indirect 208
financial relationship the person has or had during the past two 209
years with the insurer.210

       Sec. 3905.421. (A) As used in this section: 211

       (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

       (3) "Warrantor of a vehicle protection product" or 230
"warrantor" means the person that is contractually obligated to 231
the warranty holder under the terms of a vehicle protection 232
product warranty. "Warrantor" does not include an insurer 233
authorized or eligible to do business in this state.234

        (B) A vehicle protection product warranty issued by the 235
warrantor of a vehicle protection product does not constitute a 236
contract substantially amounting to insurance or its issuance the 237
business of insurance under section 3905.42 of the Revised Code, 238
if both of the following conditions are met: 239

       (1) The warranty is limited to indemnifying the warranty 240
holder for incidental costs caused by the failure of the vehicle 241
protection product to deter the theft of the vehicle or facilitate 242
the recovery of the vehicle after it has been stolen.243

        (2) The vehicle protection product warranty contains both of 244
the following conspicuous, written disclosures:245

        (a) "This vehicle protection product warranty is not subject 246
to the insurance laws of this state, contained in Title XXXIX of 247
the Ohio Revised Code."248

        (b) "This warranty may not include all of the benefits or 249
protections of an insurance policy that includes theft coverage 250
issued by an insurer authorized to do business in Ohio."251

       Sec. 3909.05. (A) Any life insurance company organized by act 252
of congress or under the laws of another state of the United253
States that transacts any business of insurance in this state254
shall have and maintain an agent, sometimes referred to as the255
"statutory agent," upon whom any process, notice, or demand256
required or permitted by law to be served upon a company may be257
served. The agent may be a natural person residing in this state258
or may be a corporation holding a license under the laws of this259
state that is authorized by its articles of incorporation to act260
as an agent and that maintains a business address in this state. A261
statutory agent need not be a licensed insurance agent.262

        (B) The written appointment of an agent shall be in the form 263
the superintendent of insurance prescribes, which may include a 264
consent to service of process. The appointment shall set forth the 265
name and complete address of the agent. The agent shall reside or 266
maintain a business address within this state.267

        The superintendent shall keep a record of the foreign life268
insurance companies transacting business in this state and the269
name and address of their respective agents.270

        (C) If any agent dies, moves out of the state, or resigns,271
the company immediately shall appoint another agent and file with272
the superintendent a written appointment as described in division273
(B) of this section.274

        (D) If an agent changes the agent's address, the company or275
agent immediately shall notify the superintendent of the change,276
and shall set forth the agent's new address, on a form prescribed277
by the superintendent.278

        (E) An agent may resign by filing with the superintendent a279
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 is282
filed with the superintendent. The notice shall set forth the283
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 the286
company and the date the copy was sent. The agent's authority287
shall terminate thirty days after the notice is filed with the288
superintendent.289

        (F) A company may revoke the appointment of an agent by290
filing with the superintendent a written appointment of another291
agent and a statement that the appointment of the former agent is292
revoked. The authority of the agent whose appointment has been 293
revoked shall terminate thirty days after the notice is filed with 294
the superintendent.295

        (G) Any process, notice, or demand required or permitted by296
law to be served upon a company may be served by delivering a copy297
of the process, notice, or demand to the agent of record at the298
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

        (H) The superintendent shall keep a record of each process,317
notice, and demand delivered to the superintendent under this318
section or any other law of this state that authorizes service319
upon the superintendent.320

        (I) This section does not limit or affect the right to serve 321
any process, notice, or demand upon a company in any other manner 322
permitted by law.323

       (J) A company shall include a fee of five dollars with any324
change of agent appointment or change of address. This division325
does not apply to an agent appointment filed with an original326
application for a certificate of authority.327

        (K) If a company fails to appoint or maintain an agent or to 328
notify the superintendent of an agent's change of address, the329
superintendent shall fine the company not less than twenty-five330
nor more than two hundred dollars per violation, after the331
superintendent has provided notice by certified mail and upon the332
expiration of thirty days from the date of mailing or such further333
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

        (L) The superintendent shall pay all moneys collected by the 338
superintendent in accordance with this section into the state339
treasury to the credit of the department of insurance operating340
fund.341

       Sec. 3909.09.  No person shall act in this state as agent, or342
otherwise, in receiving or procuring applications for life343
insurance, nor in any manner aid in transacting the business of344
any company, partnership, or association incorporated by or345
organized under the laws of any foreign government, until such346
company, partnership, or association completes the following acts:347

       (A) Deposits with the superintendent of insurance, for the348
benefit of policyholders of the company, partnership, or349
association, who are citizens or residents of the United States,350
securities to the amount of one hundred thousand dollars, of the351
kind required for similar companies of this state;352

       (B) Executes a waiver as provided inAppoints a statutory353
agent in accordance with section 3909.05 of the Revised Code;354

       (C) Appoints an agent or attorney in each county in this355
state in which the company established an agency, on whom process356
of law can be served;357

       (D) Files with the superintendent a certified copy of its358
charter, or deed of settlement, and a duplicate original copy of359
the letter or power of attorney of the company, partnership, or360
association, appointing the attorney thereof, which appointment361
shall continue until another attorney is substituted.362

       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 state365
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 insurance370
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 agent375
last designated and acting for the company, partnership, or376
association shall be deemed authorized by it to receive service of377
process. The officer who serves such process shall also send a378
copy of the process served on the agent, by mail, to the address379
of such company, partnership, or association at the place of its380
principal or home office at the time it ceased to do business in381
this state, and his return must distinctly show that at least382
thirty days have elapsed since the mailing of such copy before any383
judgment is rendered in such action.384

       If any such company, partnership, or association ceases to385
transact business in this state according to law, the agents386
statutory agent last designated by or acting for it areis deemed387
to continue as agentsagent for it, unless a new statutory agent388
is appointed, for the purpose of serving process, and for389
commencing actions upon any policy or liability issued or390
contracted while it transacted business in this state, and service391
of process upon any such agent, for such causes, is a valid392
service upon the company, partnership, or association.393

       This section does not limit or affect the right to serve any394
process, notice, or demand upon a company, partnership, or395
association in any other manner permitted by law.396

       Sec. 3927.03. (A) Any foreign insurance company that397
transacts any business in this state shall have and maintain an398
agent, sometimes referred to as the "statutory agent," upon whom399
any process, notice, or demand required or permitted by law to be400
served upon a company may be served. The agent may be a natural401
person residing in this state or may be a corporation holding a402
license under the laws of this state that is authorized by its403
articles of incorporation to act as an agent and that maintains a404
business address in this state. A statutory agent need not be a405
licensed insurance agent.406

        (B) The written appointment of an agent shall be in the form 407
the superintendent of insurance prescribes, which may include a 408
consent to service of process. The appointment shall set forth the 409
name and complete address of the agent. The agent shall reside or 410
maintain a business address within this state.411

        The superintendent shall keep a record of the foreign412
insurance companies transacting business in this state and the413
name and address of their respective agents.414

        (C) If any agent dies, moves out of the state, or resigns,415
the company immediately shall appoint another agent and file with416
the superintendent a written appointment as described in division417
(B) of this section.418

        (D) If an agent changes the agent's address, the company or419
agent immediately shall notify the superintendent of the change,420
and shall set forth the agent's new address, on a form prescribed421
by the superintendent.422

       (E) An agent may resign by filing with the superintendent a423
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 is426
filed with the superintendent. The notice shall set forth the427
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 the430
company and the date the copy was sent. The agent's authority431
shall terminate thirty days after the notice is filed with the432
superintendent.433

        (F) A company may revoke the appointment of an agent by434
filing with the superintendent a written appointment of another435
agent and a statement that the appointment of the former agent is436
revoked. The authority of the agent whose appointment has been 437
revoked shall terminate thirty days after the notice is filed with 438
the superintendent.439

       (G) Any process, notice, or demand required or permitted by440
law to be served upon a company may be served by delivering a copy441
of the process, notice, or demand to the agent of record at the442
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

       (H) The superintendent shall keep a record of each process,461
notice, and demand delivered to the superintendent under this462
section or any other law of this state that authorizes service463
upon the superintendent. 464

       (I) This section does not limit or affect the right to serve465
any process, notice, or demand upon a company in any other manner466
permitted by law. 467

       (J) A company shall include a fee of five dollars with any468
change of agent appointment or change of address. This division469
does not apply to an agent appointment filed with an original470
application for a certificate of authority.471

        (K) If a company fails to appoint or maintain an agent or to 472
notify the superintendent of an agent's change of address, the473
superintendent shall fine the company not less than twenty-five474
nor more than two hundred dollars per violation, after the475
superintendent has provided notice by certified mail and upon the476
expiration of thirty days from the date of mailing or such further477
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

       (L) The superintendent shall pay all moneys collected by the482
superintendent in accordance with this section into the state483
treasury to the credit of the department of insurance operating484
fund.485

        (M) Any foreign insurance company transacting business in486
this state by an agent consents that suit may be brought against487
it in the county where the property insured was situated, or was488
insured, or the application for insurance taken.489

       (N) If a foreign insurance company ceases to do business in490
this state according to law, the statutory agent last designated491
by or acting for it is deemed to continue as agent for it, unless492
a new statutory agent is appointed, for the purpose of serving493
process, and for commencing actions upon any policy or liability494
issued or contracted while it transacted business in this state,495
and service of process upon any such agent, for such causes, is a496
valid service upon the company. 497

       Section 2. That existing sections 1731.01, 1731.03, 3909.09, 498
and 3909.15 and sections        Sec. 3909.05.  and        Sec. 3927.03.  of the Revised Code 499
are hereby repealed.500

       Section 3. An insurance company organized under the laws of501
any other state that was authorized to transact any business of502
insurance in this state prior to the effective date of this503
section shall appoint a "statutory agent," as required by this504
act, no later than the later of the effective date of this section505
or sixty days after the Superintendent of Insurance issues a506
bulletin specifying the method by which the insurance company is507
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