State RegulationsOH specificDifficulty 2/5
A small employer's health plan in Cincinnati refuses to add an employee's newly adopted child to family coverage. Which Ohio provision specifically addresses adopted-child coverage in this small-employer context?
Select an option to reveal the answer and the full 3-part explanation — free, no signup.
Answer & full 3-part explanation (select an option above, or peek)
Why C is correct
The small-employer provisions include an adopted-child coverage requirement at ORC 3924.51, paralleling ORC 3923.40 for A&H policies and ORC 1751.59 for HIC contracts. A small employer's plan therefore may not treat an adopted child differently from a natural child for family-coverage purposes.
Why the other options are wrong
- A) ORC 3923.26 governs newborn children from the moment of birth; the adopted-child rule for small employers is ORC 3924.51.
- B) ORC 1751.61 addresses newborn coverage in HIC contracts, not adopted children in small-employer plans.
- D) ORC 3923.041 governs prior-authorization procedures, which is unrelated to adding an adopted child.
Memory hook
Small employer, adopted kid: 3924.51 has the say.