| (a) Any program or arrangement covering only accident, | 29 |
| credit,
dental, disability income, long-term care, hospital | 30 |
| indemnity,
medicare supplement, medicare, tricare, specified | 31 |
| disease, or
vision care; coverage under a | 32 |
| one-time-limited-duration policy of
not longer than six months; | 33 |
| coverage issued as a supplement to
liability insurance; insurance | 34 |
| arising out of workers'
compensation or similar law; automobile | 35 |
| medical payment insurance;
or insurance under which benefits are | 36 |
| payable with or without
regard to fault and which is statutorily | 37 |
| required to be contained
in any liability insurance policy or | 38 |
| equivalent self-insurance. | 39 |
|
(1) The standardized identification card or the electronic | 52 |
| technology shall be in a format and
contain information fields | 53 |
| approved by the national council for
prescription drug programs or | 54 |
| a successor organization, as specified in the council's or | 55 |
| successor organization's pharmacy
identification card | 56 |
| implementation guide in effect on the first
day of October most | 57 |
| immediately preceding the issuance or required use of the | 58 |
| standardized identification card or the electronic technology. | 59 |
|
(C) If the standardized identification card or the electronic | 77 |
| technology issued or required to be used as provided in division | 78 |
| (A)(1) of this section is also used for submission and routing of | 79 |
| nonpharmacy
claims, the designation "Rx" is required to be | 80 |
| included as part of the labels identified in divisions (B)(2)(d) | 81 |
| and
(e) of this section if the issuer's international | 82 |
| identification number or the processor's control number is | 83 |
| different for medical and pharmacy claims. | 84 |
| (E)(1) Except as provided in division (E)(2) of this section, | 91 |
| if there is a change in the information contained in the | 92 |
| standardized identification card or the electronic technology | 93 |
| issued to an individual, the multiple employer welfare arrangement | 94 |
| or person under contract with it to issue a standardized | 95 |
| identification card or an electronic technology shall issue a new | 96 |
| card or electronic technology to the individual. | 97 |
|
(1) The standardized identification card or the electronic | 138 |
| technology shall be in a format and
contain information fields | 139 |
| approved by the national council for
prescription drug programs or | 140 |
| a successor organization, as specified in the council's or | 141 |
| successor organization's pharmacy
identification card | 142 |
| implementation guide in effect on the first
day of October most | 143 |
| immediately preceding the issuance or required use of the | 144 |
| standardized identification
card or the electronic technology. | 145 |
|
(C) If the standardized identification card or the electronic | 163 |
| technology issued or required to be used as provided in division | 164 |
| (A)(1) of this section is also used for submission and routing of | 165 |
| nonpharmacy
claims, the designation "Rx" is required to be | 166 |
| included as part of the labels identified in divisions (B)(2)(d) | 167 |
| and (e) of this section if the issuer's international | 168 |
| identification number or the processor's control number is | 169 |
| different for medical and pharmacy claims. | 170 |
|
(E)(1) Except as provided in division (E)(2) of this section, | 177 |
| if there is a change in the information contained in the | 178 |
| standardized identification card or the electronic technology | 179 |
| issued to a subscriber, the health insuring corporation or person | 180 |
| under contract with the corporation to issue a standardized | 181 |
| identification card or an electronic technology shall issue a new | 182 |
| card or electronic technology to the subscriber. | 183 |
| Sec. 3917.01. (A) Group life insurance is that form of
life | 193 |
insurance covering not less than tentwo employees with or
without | 194 |
| medical examination, written under a policy issued to the | 195 |
|
employer, or to a trustee of a trust created by such employer,
the | 196 |
| premium on which is to be paid by the employer, by the
employer | 197 |
| and employees jointly, or by such trustee out of funds
contributed | 198 |
| by the employer or by the employer and employees
jointly, and | 199 |
| insuring only all of the employer's employees
or all of any | 200 |
|
classes thereof, determined by sex, age, or conditions pertaining | 201 |
|
to the employment, for amounts of insurance based upon some plan | 202 |
|
which will preclude individual selection, for the benefit of | 203 |
|
persons other than the employer; but when the premium is to be | 204 |
|
paid by the employer and employee jointly and the benefits of the | 205 |
|
policy are offered to all eligible employees, not less than | 206 |
|
seventy-five per cent of such employees may be so insured. Such | 207 |
|
group policy may provide that "employees" includes retired | 208 |
|
employees of the employer and the officers, managers, employees, | 209 |
|
and retired employees of subsidiary or affiliated corporations
and | 210 |
| the individual proprietors, partners, employees, and retired | 211 |
|
employees of affiliated individuals and firms, when the business | 212 |
|
of such subsidiary or affiliated corporations, firms, or | 213 |
|
individuals is controlled by the common employer through stock | 214 |
|
ownership, contract, or otherwise. This section does not define
as | 215 |
| a group the lives covered by a policy issued on more than one
life | 216 |
| which provides for payments upon the death of any one or
more or | 217 |
| upon the death of each of the lives so insured, and upon
which the | 218 |
| premium rates charged are computed on the same basis as
used by | 219 |
| the issuing company on single life policies and upon its
regular | 220 |
| forms of insurance. | 221 |
| (1) Life insurance covering the members of one or more | 225 |
|
companies, batteries, troops, battalions, divisions, or other | 226 |
|
units of the national guard or naval militia of any state,
written | 227 |
| under a policy issued to the commanding general of the
national | 228 |
| guard or commanding officer of the naval militia, who is
the | 229 |
| employer for the purposes of such sections, the premium on
which | 230 |
| is to be paid by the members of such units for the benefit
of | 231 |
| persons other than the employer; provided that when the
benefits | 232 |
| of the policy are offered to all eligible members of a
unit of the | 233 |
| national guard or naval militia, not less than
seventy-five per | 234 |
| cent of the members of such a unit may be
insured; | 235 |
| (2) Life insurance covering the members of one or more
troops | 236 |
| or other units of the state troopers or state police of
any state, | 237 |
| written under a policy issued to the commanding
officer of the | 238 |
| state troopers or state police who is the employer
for the | 239 |
| purposes of such sections, the premium on which is to be
paid by | 240 |
| the members of such units for the benefit of persons
other than | 241 |
| the employer; provided that when the benefits of the
policy are | 242 |
| offered to all eligible members of a unit of the state
troopers or | 243 |
| state police, not less than seventy-five per cent of
the members | 244 |
| of such a unit may be insured; | 245 |
| (3) Life insurance covering the members of any labor
union, | 246 |
| written under a policy issued to such union which is the
employer | 247 |
| for the purposes of such sections, the premium on which
is to be | 248 |
| paid by the union or by the union and its members
jointly, and | 249 |
| insuring only all of its members, who are actively
engaged in the | 250 |
| same occupation, for amounts of insurance based
upon some plan | 251 |
| which will preclude individual selection, for the
benefit of | 252 |
| persons other than the union or its officials;
provided that in | 253 |
| case the insurance policy is cancellable at the
end of any policy | 254 |
| year at the option of the insurance company and
that the basis of | 255 |
| premium rates may be changed by the insurance
company at the | 256 |
| beginning of any policy year, all members of a
labor union may be | 257 |
| insured; and provided that when the premium is
to be paid by the | 258 |
| union and its members jointly and the benefits
are offered to all | 259 |
| eligible members, not less than seventy-five
per cent of such | 260 |
| members may be insured; and provided that when
members apply and | 261 |
| pay for additional amounts of insurance, a
smaller percentage of | 262 |
| members may be insured for such additional
amounts if they pass | 263 |
| satisfactory medical examinations or submit
satisfactory evidence | 264 |
| of insurability; | 265 |
| (a) The debtors eligible for insurance under the policy
shall | 269 |
| be all of the debtors of the creditor, excepting that no debtor is | 270 |
|
eligible
unless
the indebtedness constitutes an obligation to | 271 |
| repay that
is binding upon the debtor during the
debtor's lifetime | 272 |
| at and from the date the insurance becomes effective
upon the | 273 |
| debtor's life. The policy may provide that
"debtors" includes the | 274 |
| debtors of one or more subsidiary corporations and the
debtors of | 275 |
| one or more affiliated corporations, proprietors, or partnerships | 276 |
|
if the business of the
policyholder and of such affiliated | 277 |
| corporations, proprietors, or
partnerships is under common control | 278 |
| through stock ownership,
contract, or otherwise. | 279 |
| (b) The premium for the policy shall be paid by the | 280 |
|
policyholder, either from the creditor's funds, or from charges | 281 |
|
collected from the insured debtors, or from both. A policy on | 282 |
|
which part or all of the premium is to be derived from the | 283 |
|
collection from the insured debtors of identifiable charges not | 284 |
|
required of uninsured debtors shall not include debtors under | 285 |
|
obligations outstanding at its date of issue without evidence of | 286 |
|
individual insurability unless at least seventy-five per cent of | 287 |
|
the then eligible debtors elect to pay the required charges. A | 288 |
|
policy on which no part of the premium is to be derived from the | 289 |
|
collection of such identifiable charges must insure all eligible | 290 |
|
debtors, or all except any as to whom evidence of individual | 291 |
|
insurability is not satisfactory to the insurer. | 292 |
| (c) The policy may be issued only if the group of eligible | 293 |
|
debtors is then receiving new entrants at the rate of at least
one | 294 |
| hundred persons yearly, or may reasonably be expected to
receive | 295 |
| at least one hundred new entrants during the first policy
year, | 296 |
| and continues to receive not less than one hundred new
entrants to | 297 |
| the group yearly, and only if the policy reserves to
the insurer | 298 |
| the right to require evidence of individual
insurability if less | 299 |
| than seventy-five per cent of the new
entrants become insured. The | 300 |
| policy may exclude from the classes
eligible for insurance classes | 301 |
| of debtors determined by age. | 302 |
| (5) Life insurance covering the members of any duly
organized | 311 |
| corporation or association of veterans or veteran
society or | 312 |
| association of the World War veterans, written under a
policy | 313 |
| issued to such corporation, association, or society which
is the | 314 |
| employer for the purpose of such sections, the premium on
which is | 315 |
| to be paid by the corporation, association, society, and
its | 316 |
| members jointly, and insuring all of its members who are
actively | 317 |
| engaged in any occupation for amounts of insurance based
upon some | 318 |
| plan which will preclude individual selection for the
benefit of | 319 |
| persons other than the corporation, association, or
society or its | 320 |
| officials; provided that when the premium is to be
paid by the | 321 |
| corporation, association, or society and its members
jointly and | 322 |
| the benefits are offered to all eligible members, not
less than | 323 |
| seventy-five per cent of such members may be insured;
and provided | 324 |
| that when members apply and pay for additional
amounts of | 325 |
| insurance, a smaller percentage of members may be
insured for such | 326 |
| additional amounts if they pass satisfactory
medical examinations | 327 |
| or submit satisfactory evidence of
insurability; | 328 |
| (6) Life insurance covering the members of any
organization | 329 |
| of agriculturists or horticulturists organized under
the | 330 |
| co-operative laws of this state, written under a policy
issued to | 331 |
| such co-operative association which is the employer for
the | 332 |
| purpose of such sections, the premium on which is to be paid
by | 333 |
| the association or by the association and its members jointly,
and | 334 |
| insuring all of its members who are actively engaged in | 335 |
|
agricultural or horticultural pursuits, for an amount of
insurance | 336 |
| based upon some plan which will preclude individual
selection, and | 337 |
| for the benefit of persons other than the
association or its | 338 |
| officials; provided that when the premium is
to be paid by the | 339 |
| corporation, association, or society and its
members jointly and | 340 |
| the benefits are offered to all eligible
members, not less than | 341 |
| seventy-five per cent of such members may
be insured; provided | 342 |
| that when members apply and pay for
additional amounts of | 343 |
| insurance, a smaller percentage of members
may be insured for such | 344 |
| additional amounts if they pass
satisfactory medical examinations | 345 |
| or submit satisfactory evidence
of insurability; | 346 |
| (7) Life insurance covering employees of a political | 347 |
|
subdivision or district of this state, or of an educational or | 348 |
|
other institution supported in whole or in part by public funds, | 349 |
|
or of any classes thereof, determined by conditions pertaining to | 350 |
|
employment, or of this state or any department or division | 351 |
|
thereof, written under a policy issued to such political | 352 |
|
subdivision, district, or institution, or the proper official or | 353 |
|
board of this state or of such state department or division | 354 |
|
thereof, which is the employer for the purpose of such sections, | 355 |
|
the premium on which is to be paid by such employees, unless | 356 |
|
otherwise provided by law, charter, or ordinance, for the benefit | 357 |
|
of persons other than the employer; provided that when the | 358 |
|
benefits of the policy are offered to all eligible employees of a | 359 |
|
political subdivision or district of the state or of an | 360 |
|
educational or other institution supported in whole, or in part
by | 361 |
| public funds, or of this state or a state department or
division | 362 |
| thereof, not less than seventy-five per cent of such
employees may | 363 |
| be insured; and provided that when employees apply
and pay for | 364 |
| additional amounts of insurance, a smaller percentage
of employees | 365 |
| may be insured for such additional amounts if they
pass | 366 |
| satisfactory medical examinations or submit satisfactory
evidence | 367 |
| of insurability; and provided that upon acquisition by a
political | 368 |
| subdivision of any privately owned property or
enterprise, the | 369 |
| employees of which have been covered by a group
policy of life or | 370 |
| other insurance as employees of such private
employer, such | 371 |
| political subdivision and insurance company may
continue such | 372 |
| contract in force upon similar conditions as the
last preceding | 373 |
| private employer; | 374 |
| (8) Life insurance covering the members, or the members
and | 375 |
| the employees of members of any duly organized association,
other | 376 |
| than an association subject to any other provision of this | 377 |
|
division, written under a policy issued to such association,
which | 378 |
| association is the employer for the purpose of such
sections, the | 379 |
| premium on which is to be paid by the insured
members or their | 380 |
| employees, insuring members and their employees
for amounts of | 381 |
| insurance based upon some plan which will preclude
individual | 382 |
| selection except as provided in this section, for the
benefit of | 383 |
| persons other than the association; provided the
association has | 384 |
| been in existence for at least two years
immediately preceding the | 385 |
| purchase of the insurance; provided
that there must be at least | 386 |
| fifty insured members in any group;
and provided that the | 387 |
| association has been organized and is
maintained in good faith for | 388 |
| purposes other than that of
obtaining insurance; | 389 |
| (9) Life insurance issued to trustees of a trust fund | 390 |
|
established jointly by one or more employers in the same
industry, | 391 |
| on the one hand, and one or more labor unions
representing as | 392 |
| bargaining agents employees of such employers, on
the other hand, | 393 |
| or by two or more employers in the same industry,
or by two or | 394 |
| more labor unions, which trustees shall be deemed
the policyholder | 395 |
| to insure employees of the employers or members
of unions for the | 396 |
| benefit of persons other than the employers or
the unions or the | 397 |
| trustees, subject to the following
requirements: | 398 |
| (a) The persons eligible for such insurance shall be all
of | 399 |
| the employees of the employers, or all of the members of the | 400 |
|
unions, or all of any class of such employees determined by sex, | 401 |
|
age, or conditions pertaining to their employment, or to | 402 |
|
membership in the unions, or to any or all of them. The policy
may | 403 |
| provide that "employees" includes the retired employees of
the | 404 |
| employer and the officers, managers, employees, and retired | 405 |
|
employees of subsidiary or affiliated corporations and the | 406 |
|
individual proprietors, partners, employees, and retired
employees | 407 |
| of affiliated individuals and firms, when the business
of such | 408 |
| subsidiary or affiliated corporations, firms, or
individuals is | 409 |
| controlled by the common employer through stock
ownership, | 410 |
| contract, or otherwise. The policy may provide that
"employees" | 411 |
| includes the individual proprietor or partners if the
employer is | 412 |
| an individual proprietor or a partnership. The policy
may provide | 413 |
| that "employees" includes the trustees or their
employees, or | 414 |
| both, if their duties are principally connected
with such | 415 |
| trusteeship. | 416 |
| (b) The premium for the policy shall be paid by the
trustees, | 417 |
| either wholly from funds contributed by the employers
of the | 418 |
| insured persons, or partly from such funds and partly from
funds | 419 |
| contributed by the insured employees. If part of the
premium is to | 420 |
| be derived from funds contributed by the insured
employees, then | 421 |
| such policy may be placed in force only if it
covers at least | 422 |
| seventy-five per cent of the then eligible
employees. A policy on | 423 |
| which no part of the premium is derived
from funds contributed by | 424 |
| the insured employees must insure all
eligible employees. | 425 |
| (10) Life insurance covering the members of a credit
union, | 432 |
| which shall be deemed to be the employer for the purposes
of this | 433 |
| section, the premium on which is to be paid by the credit
union or | 434 |
| by the credit union and its members jointly, and
insuring all of | 435 |
| its eligible members for amounts of insurance not
in excess of the | 436 |
| share balance as to each member, and for the
benefit of persons | 437 |
| other than the credit union or its officers;
provided that in the | 438 |
| determination of the eligibility of members
there may be | 439 |
| classifications and limitations based upon age;
provided also that | 440 |
| when the premium is to be paid by the credit
union and its members | 441 |
| jointly and the benefits are offered to all
eligible members, not | 442 |
| less than seventy-five per cent of such
members may be so insured; | 443 |
| provided also that in obtaining such
insurance, the officers of | 444 |
| the credit union shall consider
proposals from any licensed | 445 |
| insurer; provided also that members
may be required to provide | 446 |
| evidence of insurability satisfactory
to the insurer. | 447 |
| (11) Life insurance covering the members of any duly | 448 |
|
organized corporation or association of members of the Ohio | 449 |
|
national guard, the Ohio naval militia, and the Ohio military | 450 |
|
reserve, which shall have been in existence for at least two
years | 451 |
| immediately preceding the purchase of such insurance,
written | 452 |
| under a policy issued to such corporation or association,
which | 453 |
| corporation or association is the employer for the purpose
of such | 454 |
| sections, the premium on which is to be paid by the
insured | 455 |
| members, insuring members for amounts of insurance based
upon some | 456 |
| plan which will preclude individual selection, except
as provided | 457 |
| in this section, for the benefit of persons other
than the | 458 |
| corporation or association, provided that there must be
at least | 459 |
| fifty insured members in any group, and provided further
that | 460 |
| unless seventy-five per cent of all members or one thousand | 461 |
|
members, whichever is the lesser number, are insured, each member | 462 |
|
must pass a satisfactory medical examination in order to be | 463 |
|
insured; and provided that, when members apply and pay for | 464 |
|
additional amounts of insurance, they may be insured for such | 465 |
|
additional amounts if they pass satisfactory medical examinations | 466 |
|
or submit satisfactory evidence of insurability. | 467 |
| (12) Life insurance that is written under a policy
issued to | 468 |
| a trustee under a trust established by an insurer for
the purpose | 469 |
| of providing continued group life insurance coverage
to those | 470 |
| former employees,
former members, or former members and the | 471 |
| employees of such members, and their
spouses and dependent | 472 |
| children,
previously covered under policies of group life | 473 |
| insurance issued
by the insurer to employers or trustees pursuant | 474 |
| to
division (A) of this section, to associations pursuant to | 475 |
| division
(B)(8) of this section, or to trustees pursuant to | 476 |
| division
(B)(9) of this section, and
that is evidenced by the | 477 |
| issuance of a certificate of insurance
to such former employees or | 478 |
| members; provided that the amount of the continued
life
insurance | 479 |
| coverage made available to a former employee or member and to
the | 480 |
| employee's or member's spouse and dependents shall not exceed the | 481 |
| amount
of the group life insurance coverage previously provided to | 482 |
|
the employee or member and the employee's or member's eligible | 483 |
| dependents at
the time
of the
employee's separation from | 484 |
| employment or the member's termination of
membership. | 485 |
| (13) Life insurance covering the members of a workforce | 486 |
| actively engaged in an occupation for, and performing services on | 487 |
| behalf of, a duly organized corporation, limited liability | 488 |
| company, partnership, proprietor, or similar organization, whose | 489 |
| members are not employees of the organization, written under a | 490 |
| policy issued to the organization, which organization is the | 491 |
| members' employer for this purpose, the premium on which is to be | 492 |
| paid by the organization or by the organization and the members | 493 |
| jointly, insuring members for amounts of insurance based upon some | 494 |
| plan which will preclude individual selection, for the benefit of | 495 |
| persons other than the organization; provided, that when the | 496 |
| premium is to be paid by the organization and its members jointly | 497 |
| and the benefits are offered to all eligible members, not less | 498 |
| than seventy-five per cent of the members may be so insured; | 499 |
| provided also that members may be required to furnish evidence of | 500 |
| insurability satisfactory to the insurer. Life insurance meeting | 501 |
| this definition may also cover the organization's employees at the | 502 |
| option of the organization. | 503 |
| (C) Any policy issued pursuant to this section, except a | 504 |
|
policy issued to a creditor pursuant to division (B)(4) of this | 505 |
|
section, may be extended, in the form of group term life
insurance | 506 |
| only, to insure the spouse and dependent children of an
insured | 507 |
| employee or member, or any class or classes thereof,
subject to | 508 |
| the following requirements: | 509 |
| (a) Any individual or group policy of
sickness and accident | 542 |
| insurance covering only accident, credit,
dental, disability | 543 |
| income, long-term care, hospital indemnity,
medicare supplement, | 544 |
| medicare, tricare, specified disease, or
vision care; coverage | 545 |
| under a one-time-limited-duration policy of
not longer than six | 546 |
| months; coverage issued as a supplement to
liability insurance; | 547 |
| insurance arising out of workers'
compensation or similar law; | 548 |
| automobile medical payment insurance;
or insurance under which | 549 |
| benefits are payable with or without
regard to fault and which is | 550 |
| statutorily required to be contained
in any liability insurance | 551 |
| policy or equivalent self-insurance. | 552 |
|
(1) The standardized identification card or the electronic | 565 |
| technology shall be in a format and
contain information fields | 566 |
| approved by the national council for
prescription drug programs or | 567 |
| a successor organization, as specified in the council's or | 568 |
| successor organization's pharmacy
identification card | 569 |
| implementation guide in effect on the first
day of October most | 570 |
| immediately preceding the issuance or required use of the | 571 |
| standardized identification card or the electronic technology. | 572 |
|
(C) If the standardized identification card or the electronic | 588 |
| technology issued or required to be used as provided in division | 589 |
| (A)(1) of this section is also used for submission and routing of | 590 |
| nonpharmacy
claims, the designation "Rx" is required to be | 591 |
| included as part of the labels identified in divisions (B)(2)(d) | 592 |
| and
(e) of this section if the issuer's international | 593 |
| identification number or the processor's control number is | 594 |
| different for medical and pharmacy claims. | 595 |
| (a) Any individual or group policy of insurance covering only | 634 |
| accident, credit,
dental, disability income, long-term care, | 635 |
| hospital indemnity,
medicare supplement, medicare, tricare, | 636 |
| specified disease, or
vision care; coverage under a | 637 |
| one-time-limited-duration policy of
not longer than six months; | 638 |
| coverage issued as a supplement to
liability insurance; insurance | 639 |
| arising out of workers'
compensation or similar law; automobile | 640 |
| medical payment insurance;
or insurance under which benefits are | 641 |
| payable with or without
regard to fault and which is statutorily | 642 |
| required to be contained
in any liability insurance policy or | 643 |
| equivalent self-insurance. | 644 |
|
(1) The standardized identification card or the electronic | 652 |
| technology shall be in a format and
contain information fields | 653 |
| approved by the national council for
prescription drug programs or | 654 |
| a successor organization, as specified in the council's or | 655 |
| successor organization's pharmacy
identification card | 656 |
| implementation guide in effect on the first
day of October most | 657 |
| immediately preceding the issuance or required use of the | 658 |
| standardized identification card or the electronic technology. | 659 |
|
(C) If the standardized identification card or the electronic | 676 |
| technology issued or required to be used as provided in division | 677 |
| (A)(1) of this section is also used for submission and routing of | 678 |
| nonpharmacy
claims, the designation "Rx" is required to be | 679 |
| included as part of the labels identified in divisions (B)(2)(d) | 680 |
| and
(e) of this section if the issuer's international | 681 |
| identification number or the processor's control number is | 682 |
| different for medical and pharmacy claims. | 683 |
|
(D)(1) Except as provided in division (D)(2) of this section, | 684 |
| if there is a change in the information contained in the | 685 |
| standardized identification card or the electronic technology | 686 |
| issued to an insured, the public employee benefit plan or person | 687 |
| under contract with the plan to issue a standardized | 688 |
| identification card or electronic technology shall issue a new | 689 |
| card or electronic technology to the insured. | 690 |