Ohio Code § 3904.06
Ohio Code § 3904.06. Reproduced from the official Ohio Revised Code, with a citation summary, verification link, and related provisions.
§ 3904.06.
No insurance institution, agent, or insurance support organization shall use as its
disclosure authorization form in connection with insurance transactions a form or
statement that authorizes the disclosure of personal or privileged information about
an individual to the insurance institution, agent, or insurance support organization,
unless the form or statement: (A) Is written in plain language; (B) Is dated; (C) Specifies the types of persons authorized to disclose information about the individual; (D) Specifies the nature of the information authorized to be disclosed; (E) Names the insurance institution or agent and identifies by generic reference representatives
of the insurance institution to whom the individual is authorizing information to
be disclosed; (F) Specifies the purposes for which the information is collected; (G) Specifies the length of time such authorization shall remain valid, which shall be
no longer than: (1) In the case of authorizations signed for the purpose of collecting information in
connection with an application for an insurance policy, a policy reinstatement, or
a request for change in policy benefits, thirty months from the date the authorization
is signed; (2) In the case of authorizations signed for the purpose of collecting information in
connection with a claim for benefits under an insurance policy: (a) The term of coverage of the policy if the claim is for a health insurance benefit; (b) The duration of the claim if the claim is not for a health insurance benefit. (H) Advises the individual or a person authorized to act on behalf of the individual
that the individual or the individual's authorized representative is entitled to receive
a copy of the authorization form.
Source: official Ohio text · Last verified 2026-08-27
At a glance
- Citation: Ohio Revised Code § 3904.06
- Jurisdiction: Ohio
- Code: Ohio Revised Code
- Text: transcribed from the official source (verify below)
Verify the text
Statute text is transcribed from the official Ohio Revised Code. Confirm it against the primary source before relying on it:
Not legal advice. Verify against the official source and consult a licensed Ohio attorney.
Common questions
What is the source of Ohio Revised Code § 3904.06?
The text above is transcribed from the Ohio Revised Code, the codified statutes of Ohio. The official publisher link appears under "Verify the text" on this page.
What subject does Ohio Revised Code § 3904.06 address?
It addresses the rule set out in the section text. Read the section together with the surrounding provisions listed under "Nearby provisions" for the full picture.
Is Ohio Revised Code § 3904.06 still in force?
Statutes are amended, repealed, and renumbered every session. Confirm the current version at the official Ohio source before relying on this text.
Can this page be used as legal advice?
No. This is a reference transcription for research. Applying Ohio law to your facts requires a licensed Ohio attorney who can review the specifics.