(a) Any individual or entity that commences business as a contracting entity shall register with the department within thirty (30) days of commencing business in this state unless the individual or entity is licensed by the department as an insurer or third party administrator. Any contracting entity not licensed by the department as an insurer or third party administrator shall register with the department within ninety (90) days of January 1, 2010. If a contracting entity fails to register with the department in compliance with this section, then the commissioner may assess penalties as set forth in § 56-2-305(a)(1) or (a)(2).

Terms Used In Tennessee Code 56-60-104

  • Commissioner: means the commissioner of commerce and insurance. See Tennessee Code 56-1-102
  • Contracting entity: means any individual or entity that is engaged in the act of contracting with providers and that has entered into a provider network contract with a provider for the delivery of health care services. See Tennessee Code 56-60-102
  • Department: means the department of commerce and insurance. See Tennessee Code 56-60-102
  • Entity: means a corporation, business trust, trust, partnership, limited liability company, association, joint venture, public corporation, government or governmental subdivision, agency or instrumentality, or any other legal or commercial entity. See Tennessee Code 56-60-102
  • Representative: when applied to those who represent a decedent, includes executors and administrators, unless the context implies heirs and distributees. See Tennessee Code 1-3-105
  • 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
  • Third party: means an organization that enters into a contract with a contracting entity or with another third party to gain access to a provider network contract. See Tennessee Code 56-60-102
  • written: includes printing, typewriting, engraving, lithography, and any other mode of representing words and letters. See Tennessee Code 1-3-105
(b)

(1) Registration shall consist of the submission of the following information:

(A) The official name of the contracting entity, including any doing business as (d/b/a) designations used in this state;
(B) The mailing address and official telephone number for the contracting entity’s principal headquarters;
(C) The name and telephone number of the contracting entity’s representative who will serve as the primary contact with the department; and
(D) Any other information as requested by the department.
(2) The information required by subdivision (b)(1) shall be submitted in written or electronic format, as prescribed by the department.
(c) The department may impose a registration fee to defray the cost of administering this section.
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