Terms Used In Tennessee Code 56-32-132

  • affiliate: means any entity that exercises control over or is controlled by the HMO, directly or indirectly through:
    (A) Equity ownership of voting securities. See Tennessee Code 56-32-102
  • Department: means the department of commerce and insurance. See Tennessee Code 56-1-102
  • Oversight: Committee review of the activities of a Federal agency or program.
  • person: includes an individual, insurer, company, association, organization, Lloyds, society, reciprocal insurer or interinsurance exchange, partnership, syndicate, business trust, corporation, agent, general agent, broker, solicitor, service representative, adjuster, and every legal entity. See Tennessee Code 56-32-102

For the purposes of regulation and oversight of HMOs that participate in the TennCare program under Title XIX of the federal Social Security Act ( 42 U.S.C. § 1396 et seq.), or any successor to the TennCare program, and in addition to the powers and duties set forth in this title, the department of commerce and insurance has the power to examine and investigate the affairs of every person, entity, HMO, an affiliate of the parent of the HMO, or an affiliate of the HMO, in order to determine whether the person, entity, HMO, an affiliate of the parent of the HMO, or an affiliate of the HMO, is operating in accordance with this chapter and title 71, chapter 5.