1. For claims closed or open and pending on or after January 1, 2008:

    1. Every insuring entity or self-insurer that provides health care liability insurance to any facility or provider in this state must report each health care liability claim to the commissioner;
    2. A claim that is covered under a primary policy and one (1) or more excess policies shall be reported only by the insuring entity that issued the primary policy. The insuring entity that issued the primary policy shall report the total amount, if any, paid with respect to the claim, including any amount paid under an excess policy, any amount paid by the facility or provider, and any amount paid by any other person on behalf of the facility or provider;
    3. Terms Used In Tennessee Code 56-54-105

      • Claim: means :

        1. A demand for monetary damages for injury or death caused by health care liability. See Tennessee Code 56-54-103
        2. Claimant: means a person, including a decedent's estate, that is seeking or has sought monetary damages for injury or death caused by health care liability. See Tennessee Code 56-54-103
        3. Commissioner: means the commissioner of commerce and insurance. See Tennessee Code 56-54-103
        4. facility: means an entity licensed under title 68, including a clinic, diagnostic center, hospital, laboratory, mental health center, nursing home, office, surgical facility, treatment facility, or similar place where a health care provider provides health care to patients. See Tennessee Code 56-54-103
        5. Health care liability: means an actual or alleged negligent act, error, or omission in providing or failing to provide health care services. See Tennessee Code 56-54-103
        6. Insuring entity: means :

          1. An authorized insurer. See Tennessee Code 56-54-103
          2. 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
          3. provider: means :

            1. A person licensed in either title 63, except chapter 12, or title 68 to provide health care or related services, including, but not limited to, an acupuncturist, a physician, a surgeon, an osteopathic physician, a dentist, a nurse, an optometrist, a podiatrist, a chiropractor, a physical therapist, a psychologist, a pharmacist, an optician, a physician assistant, a certified professional midwife, an orthopedic physician assistant, or a nurse practitioner. See Tennessee Code 56-54-103
            2. Self-insurer: means any health care provider, facility, or other individual or entity that assumes operational or financial risk for claims of health care liability. See Tennessee Code 56-54-103
            3. Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
            4. 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
            5. Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105

    4. If a claim is not covered by an insuring entity or self-insurer, the facility or provider named in the claim must report it to the commissioner after a final claim disposition has occurred due to a court proceeding or a settlement by the parties. Instances in which a claim may not be covered by an insuring entity or self-insurer include situations in which:

      1. The facility or provider did not buy insurance or maintained a self-insured retention that was larger than the final judgment or settlement;
      2. The claim was denied by an insuring entity or self-insurer because it did not fall within the scope of the insurance coverage agreement; or
      3. The annual aggregate coverage limits had been exhausted by other claim payments.
    1. Any self-insurer, risk retention group, or unauthorized insurer that may be exempt from this chapter due to a federal preemption or other cause, may report all data required under this section.
    2. The self-insurer, risk retention group, or unauthorized insurer must notify covered providers and facilities that they may have reporting responsibilities under this chapter if the self-insurer, risk retention group or unauthorized insurer does not report due to a federal exemption or other jurisdictional preemption.
    3. If any self-insurer, risk retention group or unauthorized insurer does not report information required by this chapter due to the assertion of a federal exemption or other jurisdictional preemption, the facility or provider named in a health care liability claim shall report all data required by this chapter once notified by the self-insurer, risk retention group or unauthorized insurer that such entity is not reporting under this section.
    1. Counsel for claimants asserting claims covered by this section shall provide:

      1. Information about fee arrangements to the commissioner. The information shall include the portion of any settlement or judgment received by claimant‘s counsel; and
      2. Information as to whether the healthcare provider named in the claim received payment from TennCare for the incident that is the subject of the claim.
    2. For the purposes of the levying of civil penalties under § 56-54-109, counsel for claimants who are required to submit the information outlined in this subsection (c) shall be considered reporting entities under this section.
    3. The information provided pursuant to subdivision (c)(1)(B) shall be provided for claims closed or open and pending on or after January 1, 2012.
  2. Beginning in 2009, reports required under subsections (a) and (c) must be filed by March 1. These reports must include data for all claims open and pending as of the last day of the preceding calendar year, and those claims closed in the preceding calendar year and any adjustments to data reported in prior years.
  3. The commissioner may adopt rules that require insuring entities, self-insurers, facilities, providers and claimant’s counsel to submit all required claim data electronically.