(a) As used in this section, “affiliate” has the same meaning as defined in § 56-32-102.

Terms Used In Tennessee Code 56-32-134

  • 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
  • Commissioner: means the commissioner of commerce and insurance. See Tennessee Code 56-32-102
  • Department: means the department of commerce and insurance. See Tennessee Code 56-1-102
  • 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
  • Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105
(b)

(1) For verification and audit purposes, each managed care organization that participates in the TennCare program shall provide to the department of commerce and insurance the following information for its organization:

(A) The names and addresses of all persons required to file a disclosure with the commissioner of health under § 71-5-137(a) and (b);
(B) An explanation of the interest in or connection with the managed care organization, or an affiliate of the organization, in accordance with § 71-5-137(a), of each person required to file a disclosure under subdivision (b)(1)(A); and
(C) A listing of all compensation of any form paid to each person required to file a disclosure under subdivision (b)(1)(A) related to the person’s interest in or connection with the managed care organization, or an affiliate of the organization, in accordance with § 71-5-137(a).
(2) The information shall be provided on or before January 15 of each year for the preceding calendar year.
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