Tennessee Code 56-26-203 – Benefits entitlement when husband and wife covered as employees of same employer – Family members
Current as of: 2023 | Check for updates
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Terms Used In Tennessee Code 56-26-203
- Group accident and health insurance: means that form of accident and health insurance covering groups of persons as defined in the policy, with or without one (1) or more members of their families or one (1) or more of their dependents, or covering one (1) or more members of the families or one (1) or more dependents, under a policy issued to an employer or trustees of a fund established by an employer, or to an association or other organization that qualifies under §. See Tennessee Code 56-26-201
- Person: means any association, aggregate of individuals, business, company, corporation, individual, joint-stock company, Lloyds-type organization, organization, partnership, receiver, reciprocal or interinsurance exchange, trustee or society. See Tennessee Code 56-16-102
- State: when applied to the different parts of the United States, includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
When a husband and wife are both employed by the same employer, and both have enrolled themselves and their eligible family members under their employer’s group accident and health insurance policy issued in this state after April 2, 1981, each spouse may claim on the person‘s own behalf, or on behalf of the person’s enrolled dependents, the combined maximum contractual benefits to which an employee is entitled under the terms of the group policy, not to exceed in the aggregate one hundred percent (100%) of the expenses incurred.