§ 56-51-101 Short title
§ 56-51-102 Chapter definitions
§ 56-51-103 Exemption from Tennessee insurance code
§ 56-51-104 Insurance business not authorized
§ 56-51-105 Certificate of authority required
§ 56-51-106 Application for certificate of authority
§ 56-51-107 Issuance of certificate of authority — Denial
§ 56-51-108 Continued eligibility for certificate of authority
§ 56-51-109 Certain entities contracting with state Title XIX agency
§ 56-51-110 Use of English required in contracts and advertisements
§ 56-51-111 Language used in contracts and marketing materials
§ 56-51-112 Prepaid limited health service contracts
§ 56-51-113 Rates and charges
§ 56-51-114 Changes in rates and benefits — Material modifications — Addition of limited health services
§ 56-51-115 Additional contract contents
§ 56-51-116 Genetic information restrictions
§ 56-51-117 Restrictions upon expulsion or refusal to issue or renew contract
§ 56-51-118 Charter — Bylaw provisions
§ 56-51-119 Execution of contracts
§ 56-51-120 Validity of noncomplying contracts
§ 56-51-121 Construction of contracts
§ 56-51-122 Delivery of contract
§ 56-51-123 Notice of cancellation of contract
§ 56-51-124 Construction and relationship with other laws
§ 56-51-125 Acceptable payments
§ 56-51-126 Certain words prohibited in name of organization
§ 56-51-127 Extension of benefits
§ 56-51-128 Provider arrangements
§ 56-51-129 Administrative, provider, and management contracts
§ 56-51-130 Contract providers
§ 56-51-131 Complaint system
§ 56-51-132 Examination by the department
§ 56-51-133 Assets, liabilities, and investments
§ 56-51-134 Annual, quarterly, and miscellaneous reports
§ 56-51-135 Agent licensing
§ 56-51-136 Minimum net worth and working capital requirements
§ 56-51-137 Insolvency protection
§ 56-51-138 Officers’ and employees’ fidelity bond
§ 56-51-139 Suspension or revocation of certificate of authority — Suspension of enrollment of new subscribers — Terms of suspension
§ 56-51-140 Administrative penalty in lieu of suspension or revocation
§ 56-51-141 Injunction
§ 56-51-142 Payment of judgment by prepaid limited health service organization
§ 56-51-143 Levy upon deposit limited
§ 56-51-144 Supervision, rehabilitation, conservation, liquidation, or reorganization — Exclusive methods of remedy
§ 56-51-145 Fees
§ 56-51-146 Investigative power of department
§ 56-51-147 Unfair methods of competition, unfair or deceptive acts or practices defined
§ 56-51-148 Appeals from the department
§ 56-51-149 Civil liability
§ 56-51-150 Confidentiality
§ 56-51-151 Acquisitions
§ 56-51-152 Taxes imposed
§ 56-51-153 Rules
§ 56-51-154 Applicability of provisions of title 56, chapter 32 to successor organizations
§ 56-51-155 Holding company regulation

Terms Used In Tennessee Code > Title 56 > Chapter 51

  • amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • appellate: About appeals; an appellate court has the power to review the judgement of another lower court or tribunal.
  • assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Attorney: means the person designated and authorized by subscribers as the attorney-in-fact having authority to obligate them on reciprocal insurance contracts. See
  • attorney-in-fact: A person who, acting as an agent, is given written authorization by another person to transact business for him (her) out of court.
  • beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Code: includes the Tennessee Code and all amendments and revisions to the code and all additions and supplements to the code. See Tennessee Code 1-3-105
  • Commissioner: means the commissioner of commerce and insurance. See
  • Commissioner: means the commissioner of commerce and insurance. See Tennessee Code 56-51-102
  • common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • contract: A legal written agreement that becomes binding when signed.
  • corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Department: means the department of commerce and insurance. See
  • Department: means the department of commerce and insurance. See Tennessee Code 56-51-102
  • dependent: A person dependent for support upon another.
  • Enrollee: means an individual, including dependents, who is entitled to limited health services pursuant to a contract, or any other evidence of coverage, with a health maintenance organization, licensed pursuant to title 56, chapter 32, or a contract with a state or federal agency. See Tennessee Code 56-51-102
  • evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Evidence of coverage: means the certificate, agreement, membership card, or contract issued pursuant to this chapter setting forth the coverage to which an enrollee is entitled through a health maintenance organization licensed pursuant to chapter 32 of this title or a state or federal agency. See Tennessee Code 56-51-102
  • fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • fraud: Intentional deception resulting in injury to another.
  • grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Insolvent: means that all the statutory assets of the prepaid limited health service organization, if made immediately available, would not be sufficient to discharge all of its statutory liabilities or that the prepaid limited health service organization is unable to pay its debts as they become due in the usual course of business. See Tennessee Code 56-51-102
  • insurance company: includes all corporations, associations, partnerships, or individuals engaged as principals in the business of insurance. See
  • liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Limited health service: means dental care services, vision care services, mental health services, substance abuse services, and pharmaceutical services. See Tennessee Code 56-51-102
  • litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Oath: includes affirmation. See Tennessee Code 1-3-105
  • partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • 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
  • Prepaid limited health service contract: means any contract entered into by a prepaid limited health service organization with a health maintenance organization or a state or federal agency to provide limited health services in exchange for a prepaid per capita or prepaid aggregate fixed sum. See Tennessee Code 56-51-102
  • Prepaid limited health service organization: means any person, corporation, partnership, or any other entity that, in return for a prepayment from a health maintenance organization or a state or federal agency, undertakes to provide or arrange for, or provide access to, the provision of a limited health service to enrollees through an exclusive panel of providers. See Tennessee Code 56-51-102
  • Provider: means , but is not limited to, any physician, dentist, health facility, or other person or institution that is duly licensed in this state to deliver limited health services. See Tennessee Code 56-51-102
  • Qualified independent actuary: means an actuary who is a member of the American Academy of Actuaries or the Society of Actuaries and who has experience in establishing rates for limited health services and who has no financial or employment interest in the prepaid limited health service organization. See Tennessee Code 56-51-102
  • 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
  • rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • 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
  • Statutory accounting principles: means generally accepted accounting principles, except as modified by this act. See Tennessee Code 56-51-102
  • Subscriber: means a person obligated under a reciprocal insurance agreement. See
  • Subscriber: means an individual on whose behalf a contract or arrangement has been entered into with a prepaid limited health service organization for health care services or other persons who also receive health care services as a result of the contract. See Tennessee Code 56-51-102
  • Working capital: means current assets minus current liabilities. See Tennessee Code 56-51-102
  • written: includes printing, typewriting, engraving, lithography, and any other mode of representing words and letters. See Tennessee Code 1-3-105
  • Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105