Ohio § 2108.38

§ 2108.38.

(A) As used in this section: (1) “ Covered person ” means a policyholder, subscriber, enrollee, member, or individual covered by a health

benefit plan. (2) “ Health benefit plan ” means a policy, contract, certificate, or agreement offered by a health plan issuer

to provide, deliver, arrange for, pay for, or reimburse any of the costs of health

care services, including benefit plans marketed in the individual or group market

by all associations, whether bona fide or not.  “Health benefit plan” also means a limited benefit plan, except as follows.  “Health benefit plan” does not mean any of the following types of coverage:  a policy,

contract, certificate, or agreement that covers only a specified accident, accident

only, credit, dental, disability income, long-term care, hospital indemnity, supplemental

coverage, as described in section 3923.37 of the Revised Code , specified disease, or vision care;  coverage issued as a supplement to liability

insurance;  insurance arising out of workers' compensation or similar law;  automobile

medical payment insurance;  or insurance under which benefits are payable with or

without regard to fault and which is statutorily required to be contained in any liability

insurance policy or equivalent self-insurance;  a medicare supplement policy of insurance,

as defined by the superintendent of insurance by rule, coverage under a plan through

medicare, medicaid, or the federal employees benefit program;  any coverage issued

under Chapter 55 of Title 10 of the United States Code and any coverage issued as

a supplement to that coverage. (3) “ Health plan issuer ” means an entity subject to the insurance laws and rules of this state, or subject

to the jurisdiction of the superintendent of insurance, that contracts, or offers

to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs

of health care services under a health benefit plan, including a sickness and accident

insurance company, a health insuring corporation, a fraternal benefit society, a self-funded

multiple employer welfare arrangement, or a nonfederal, government health plan.  “Health plan issuer” includes a third-party administrator licensed under Chapter

3959. of the Revised Code to the extent that the benefits that such an entity is contracted

to administer under a health benefit plan are subject to the insurance laws and rules

of this state or subject to the jurisdiction of the superintendent. (B) A health plan issuer that provides coverage for anatomical gifts, transplantation,

or related treatment and services shall not deny such coverage to a covered person

solely on the basis of the person's disability.