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Ex. AGY-ST-INSURANCE-BANKING-107 Context (guidance or announcement) Primary source read

Bulletin 2020-05

COVID-19 Testing and Treatment: Out-of-Network Coverage

Jillian Froment, Superintendent of Insurance · Ohio; Department of Insurance (Sector regulator)

The COVID Project
Context, not an order

This record is guidance or an announcement kept for context. It is not counted among the orders in force.

The record

Jurisdiction
Ohio; Department of Insurance · Ohio
Level
Sector regulator
Authority
R.C. 3901.041
Issued
2020-03-20 Mar. 20, 2020
Effective
2020-03-20
End
For the duration of the state of emergency (ended June 18, 2021) (read as 2021-06-18)
In force
Mar. 20, 2020 to June 18, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q2
Limitation types
Health care orders
Addressees
  • all health plan issuers, including insurance companies, health insuring corporations, MEWAs and non-federal governmental health plans
Functions reached
  • IN health insurers (network and cost-sharing rules)
  • CB payers of Ohio providers
Character
context
Collection
State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

This Bulletin pertains to all health plan issuers, including insurance companies, health insuring corporations, MEWAs, non-federal governmental health plans, and other entities transacting the business of insurance in the State of Ohio, or that are subject to the jurisdiction of the Superintendent of Insurance (collectively, Insurers), that reimburse the costs of health care services under a health benefit plan in Ohio... Accordingly, the Superintendent hereby orders and directs that: [Insurers cover COVID-19 testing and treatment from out-of-network providers at in-network cost-sharing where in-network providers are unavailable].

Enforcement

R.C. 3901.22; R.C. 3901.041

Notes

An order ('the Superintendent hereby orders and directs').

Retrieval note

Cite it as context and cite the underlying order, statute or emergency rule it describes as the instrument. (Bulletins whose operative text imposes a mandatory duty on licensees under the regulator's own authority are excluded from this downgrade and listed separately for review.)).