Ohio § 3922.16 Construction of chapter; limitations on liability

Ohio Statutes

§ 3922.16 — Construction of chapter; limitations on liability

Ohio § 3922.16

Title 39Insurance

Ch. 3922External Review

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Bluebook

Ohio Rev. Code Ann. § 3922.16 (2026).

Text

(A)Nothing in this chapter shall be construed to create a cause of action against any of the following:

(1)An employer that provides health care benefits to employees through a health plan issuer;

(2)A clinical reviewer or independent review organization that participates in an external review under this chapter;

(3)A health plan issuer that provides coverage for benefits pursuant to this chapter.

(B)An independent review organization and any clinical reviewer an independent review organization uses in conducting an external review under this chapter is not liable in damages in a civil action for injury, death, or loss to person or property and is not subject to professional disciplinary action for making, in good faith, any finding, conclusion, or determination required

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(A) Nothing in this chapter shall be construed to create a cause of action against any of the following:

(1) An employer that provides health care benefits to employees through a health plan issuer;

(2) A clinical reviewer or independent review organization that participates in an external review under this chapter;

(3) A health plan issuer that provides coverage for benefits pursuant to this chapter.

(B) An independent review organization and any clinical reviewer an independent review organization uses in conducting an external review under this chapter is not liable in damages in a civil action for injury, death, or loss to person or property and is not subject to professional disciplinary action for making, in good faith, any finding, conclusion, or determination required to complete the external review.

(C) This section does not grant immunity from civil liability or professional disciplinary action to an independent review organization or clinical reviewer for an action that is outside the scope of authority granted under this chapter.