§ 56-7-2901 Short title
§ 56-7-2902 Part definitions
§ 56-7-2903 Creation of Access Tennessee health insurance pool — Board of directors — Advisory committee — Funding plan and plan of operation — Promulgation of rules — Errors and omissions by commissioner or board members
§ 56-7-2904 Powers and authority
§ 56-7-2905 Annual report
§ 56-7-2906 Additional powers and duties — Rules
§ 56-7-2907 Audit
§ 56-7-2908 Eligibility for program — Unfair practices
§ 56-7-2909 Administration of the pool
§ 56-7-2910 Offering of coverage options — Exclusion of charges and expenses — Availability of third party payment — Recovery of ineligible benefits paid
§ 56-7-2911 Funding
§ 56-7-2912 Fraud and abuse
§ 56-7-2913 Federal funding
§ 56-7-2914 Legislative review
§ 56-7-2915 Creation of special joint committee

Terms Used In Tennessee Code > Title 56 > Chapter 7 > Part 29

  • Access Tennessee: means the nonprofit entity created pursuant to §. See
  • Agriculture: means :

    (i) The land, buildings and machinery used in the commercial production of farm products and nursery stock. See Tennessee Code 1-3-105

  • Attorney: means the person designated and authorized by subscribers as the attorney-in-fact having authority to obligate them on reciprocal insurance contracts. See
  • Board: means the Access Tennessee board of directors established pursuant to §. See
  • COBRA continuation coverage: refers to continuation of coverage offered pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985, compiled in 42 U. See
  • 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 finance and administration. See
  • Department: means the department of commerce and insurance. See
  • Department: means the department of finance and administration. See
  • Federally defined eligible individual: means an individual:

    (A) For whom, as of the date on which the individual seeks coverage under this part, the aggregate of the periods of creditable coverage is eighteen (18) or more months. See

  • Fund: means the Access Tennessee health insurance pool fund established by §. See
  • Health insurance coverage: means any hospital and medical expense incurred policy, nonprofit health care service plan contract, health maintenance organization subscriber contract, or any other health care plan or arrangement that pays for or furnishes medical or health care services, whether by insurance or otherwise. See
  • Hospital: means a licensed public or private institution as defined in §. See
  • Insurance arrangement: means , to the extent permitted by ERISA, any plan, program, contract or other arrangement under which one (1) or more employers, unions or other organizations provide to their employees or members, either directly or indirectly through a trust or third party administration, health care services or benefits other than through an insurer, and shall include any plan described in §. See
  • insurance company: includes all corporations, associations, partnerships, or individuals engaged as principals in the business of insurance. See
  • Insurer: means any entity that provides health insurance coverage in this state. See
  • Medicaid: means the federal- and state-financed, state-run program of medical assistance established pursuant to Title XIX of the Social Security Act, compiled in 42 U. See
  • Medicare: means coverage under Parts A and/or B of Title XVIII of the Social Security Act, compiled in 42 U. See
  • Month: means a calendar month. See Tennessee Code 1-3-105
  • 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
  • Plan of operation: means the articles, bylaws, and operating rules and procedures adopted by the board pursuant to §. See
  • Pool: means the Access Tennessee health insurance pool, created in §. See
  • 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
  • Resident: means an individual who is legally domiciled in Tennessee. See
  • Significant break in coverage: means a period of sixty-three (63) consecutive days during all of which the individual does not have any creditable coverage, except that neither a waiting period nor an affiliation period is taken into account in determining a significant break in coverage. See
  • 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
  • Subscriber: means a person obligated under a reciprocal insurance agreement. See
  • Third party administrator: means any entity that, on behalf of an insurer or insurance arrangement, provides health insurance coverage to individuals in this state, receives or collects charges, contributions or premiums for, or adjudicates, processes or settles claims in connection with, any type of health benefit provided in or as an alternative to health insurance coverage. See
  • United States: includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
  • 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