Ohio Code 1751.56 – Effect of supplemental sickness and accident insurance policy
(A) No individual or group health insuring corporation policy, contract, or agreement shall be delivered, issued for delivery, or renewed in this state, if the policy, contract, or agreement excludes or reduces the benefits payable to or on behalf of an insured because benefits are also payable or have been paid under a supplemental sickness and accident insurance policy to which all of the following apply:
Terms Used In Ohio Code 1751.56
- Contract: A legal written agreement that becomes binding when signed.
- Corporation: means a corporation formed under Chapter 1701. See Ohio Code 1751.01
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
- state: means the state of Ohio. See Ohio Code 1.59
(1) The policy covers a specified disease or a limited plan of coverage.
(2) The policy is specifically designed, advertised, represented, and sold as a supplement to other basic sickness and accident insurance coverage.
(3) The entire premium for the policy is paid by the insured, the insured’s family, or the insured’s guardian.
(B) This section applies to supplemental sickness and accident insurance policies irrespective of the mode or channel of premium payment to the insurer or of any reduction in the premium by virtue of the insured’s membership in any health insuring corporation or the insured’s status as an employee.