Ohio § 3901.3811 Failure to comply by third-party payer

Ohio Statutes

§ 3901.3811 — Failure to comply by third-party payer

Ohio § 3901.3811

Title 39Insurance

Ch. 3901Superintendent Of Insurance

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Bluebook

Ohio Rev. Code Ann. § 3901.3811 (2026).

Text

(A)No third-party payer shall fail to comply with sections3901.381and3901.384to3901.3810of the Revised Code.

(B)The superintendent of insurance may require third-party payers to submit reports of their compliance with division (A) of this section. If reports are required, the superintendent shall prescribe the content, format, and frequency of the reports in consultation with third-party payers. The superintendent shall not require reports to be submitted more frequently than once every three months. The superintendent shall not use findings from reports submitted by a third-party payer under this division as the basis of a finding of a violation of division (A) of this section or the imposition of penalties under section3901.3812of the Revised Code. However, the information contained

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(A) No third-party payer shall fail to comply with sections3901.381and3901.384to3901.3810of the Revised Code.

(B) The superintendent of insurance may require third-party payers to submit reports of their compliance with division (A) of this section. If reports are required, the superintendent shall prescribe the content, format, and frequency of the reports in consultation with third-party payers. The superintendent shall not require reports to be submitted more frequently than once every three months.

The superintendent shall not use findings from reports submitted by a third-party payer under this division as the basis of a finding of a violation of division (A) of this section or the imposition of penalties under section3901.3812of the Revised Code. However, the information contained in the reports may cause the superintendent to conduct a market conduct examination of the third-party payer. During this examination, the superintendent may examine data collected from the same time period as covered by these reports and the superintendent's examination findings may be used as the basis for finding a violation of division (A) of this section.