reglab/housing_qa huggingface dataset:
TN Code § 56-27-105 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-105. Board of Directors — Number — Qualifications — Nomination — Election — Compensation

 A medical service plan corporation shall consist of a board of directors and of members, grouped in reasonable classes as the bylaws of the corporation as approved by the commissioner shall provide. The business of the corporation shall be managed by a board of directors of nine (9) persons possessing the same general qualifications as the incorporators, and selected by the members in the manner set out in the bylaws, for three-year terms. Five (5) members of the board shall be licensed doctors of medicine, nominated by the medical societies having territorial jurisdiction in the county in which the corporation has authority to operate, and the other four (4) members shall be representatives of the subscribers in the areas involved, and shall be nominated by the members of the corporation, and all nine (9) members of the board shall be elected by the members of the corporation as provided in this section. Directors or board members shall serve without pay for their work in this capacity, but may receive payment for particular services actually rendered, such as legal counsel, medical or surgical service, accounting or other required services, upon specific approval of the board of directors, the approval being made a part of the minutes of the board of directors.
TN Code § 56-27-106 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-106. Right to Establish or Operate Plan — Unlawful Acts

 It is unlawful for any person except a medical service plan corporation, incorporated in accordance with this chapter, and operating in accordance with this chapter, and operating in accordance with authority from the commissioner or an insurance company properly qualified in this state to write accident, health or disability insurance, to establish, maintain, or operate a medical service plan, or to solicit subscribers to or enter into contracts with respect to a medical service plan. This prohibition, however, shall not be construed as preventing a person from furnishing medical services for the prevention of diseases among the person's employees or from furnishing the medical services as are required under the Workers' Compensation Law, compiled in title 50, chapter 6, and related legislation when the employee is not charged for the services.
TN Code § 56-27-107 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-107. Scope and Extent of Medical Service

 A medical service plan corporation shall be authorized to provide either or both general and special medical and surgical care benefits, including service that may be necessarily incident to medical care. The extent and scope of a medical service plan shall be clearly shown in the subscription contract, and may be limited only as clearly shown in the contract, and as approved by the commissioner.
TN Code § 56-27-108 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-108. Right to Become Participating Physician — Method of Diagnosis and Treatment Unrestricted — Private Physician-Patient Relationship

  Every doctor of medicine licensed to practice in this state under title 63, chapter 6, and who is reputable and in good standing, has the right to become a participating physician in the medical service plan corporation operating in the county in which the doctor resides or practices, for general or special medical care, as the case may be, under the terms and conditions that are imposed on other participating physicians under similar circumstances, or as prescribed in this chapter and approved by the commissioner. A medical service plan corporation shall impose no restrictions on the doctors of medicine who treat its subscribers as to methods of diagnosis or treatment. The private physician-patient relationship shall be maintained, and a subscriber shall at all times have free choice of any doctor of medicine who is a participating physician in the corporation and who agrees to accept a particular beneficiary as a patient.   It is the purpose of this section to make it clear that the creation of the relationship of patient and physician depends on the mutual assent of both parties. Contracts issued by the corporation to the subscribers shall not constitute individually or jointly obligations of the participating physician or physicians servicing the plan.
TN Code § 56-27-109 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-109. Agreements With Physicians

 A medical service plan corporation may enter into agreements with physicians qualified as set out in § 56-27-108, under which the physicians become participating physicians of a plan operated by the corporation, and may make to the physicians payments that have accrued to them by reason of services performed under the plan and on behalf of the corporation by them. Payment for medical services shall be made only to a participating physician unless otherwise provided for in this chapter, except that the corporation, in the case of emergency services rendered to a subscriber, may reimburse any doctor of medicine who would be eligible to become a participating physician except for residence or state by which licensed, in accordance with the rates adopted by the board of directors with respect to participating physicians. A medical service plan corporation may enter into contracts for the payment of medical services to the subscribers or members of similar medical service plan corporations of other states subject to the supervision of other states, and shall have the right to reimburse any other medical service plan corporation or physicians of another state or other counties of this state in which the corporation does not transact business for services rendered to its subscribers or beneficiaries named in the certificates issued to the subscribers at the same rate paid participating physicians under the certificate of the subscriber. The contracts between the medical service plan corporation and physicians shall be subject to the supervision of and the approval of the commissioner.
TN Code § 56-27-110 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-110. License Required

 A corporation subject to this chapter may issue contracts only when the commissioner has by formal license authorized it to do so.
TN Code § 56-27-111 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-111. Application for License — Form — Accompanying Documents — Filing Fee

 Application for the license shall be made on forms approved by the commissioner, containing information the commissioner deems necessary. Every application for the license shall be accompanied by copies of the following documents:   A certified copy of its charter or certificate of incorporation;   A copy of its bylaws, certified by the lawful custodian of the original;   Proposed contract between the corporation and the participating physicians showing terms under which medical service is to be furnished to subscribers;   Subscription contracts to be issued to subscribers showing a table of the rates to be charged and the benefits to which they are entitled, showing benefits expressed in service rather than in dollars; however, with equitable arrangements to protect the interests of subscribers when it becomes impossible for the services to be provided. The contracts should make clear that the responsibility for service to subscribers rests with the corporation, and not with the participating physicians;   A statement of the county or counties in which it proposes to operate medical service plans;   A statement of its financial condition and business in such form and detail as the commissioner may require, including the amounts of contributions paid for working capital and the name or names of each contributor, and the terms of the contribution, signed and sworn to by its president and secretary, or other proper officers, and shall pay for the filing of the statement the sum of thirty dollars ($30.00). Contributions not paid, but agreed to be paid, may be reported as a separate item, but shall not be admitted as assets of the corporation;   A copy of its proposed prospectus and advertising material to be used in the solicitation of contracts; and   Proof satisfactory to the commissioner that in the county or counties in which the corporation proposes to operate, fifty-one percent (51%) or more of the resident doctors of medicine have agreed to render the medical services for which the corporation agrees to pay.
TN Code § 56-27-113 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-113. Investment of Funds

 The funds of the medical service corporations subject to this chapter shall be invested only in securities permitted by the laws of this state for the investment of assets of life insurance companies.
TN Code § 56-27-114 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-114. Administrative Expenses

  All acquisition and administrative expenses incurred in connection with the medical service corporation shall at all times be limited after the second year of operation to not exceed twenty-five percent (25%) of the total net premium income of the corporation. The expenses, during the first year, shall be limited to thirty-five percent (35%), and during the second year, the expenses shall be limited to thirty percent (30%). All acquisition and administrative expenses incurred shall be subject to the approval of the commissioner.   “Administrative expenses,” as used in this section, includes all expenditures except payments for subscribers' claims.   Claim service expense shall be separately classified and included in administrative expense, unless otherwise ordered by the commissioner. No such corporation shall disburse as administrative expenses during any one (1) year a sum greater than the percentage limited by this section of payments received from subscribers during that calendar year.
TN Code § 56-27-115 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-115. Purchase of Liability Insurance Authorized

 A medical service plan corporation is authorized to purchase a contract of insurance protecting the corporation or any officer or employee of the corporation, or any physician from liability for injuries resulting from negligence, misfeasance, malfeasance, nonfeasance or health care liability on the part of any officer or employee of the corporation, or on the part of any physician in the course of rendering medical services to beneficiaries.
TN Code § 56-27-116 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-116. Records to Be Maintained

 The medical service corporation shall maintain adequate financial and statistical records in reasonable uniformity with accounting plans and statistical requirements of the annual statement blank required by the commissioner.
TN Code § 56-27-117 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-117. Annual Statement — Form — Filing Fee

 The service corporation shall annually, on or before March 1, file in the office of the department a statement of its operations for the calendar year, and showing financial condition as of December 31, then next preceding, in the form and content the commissioner shall prescribe, signed and sworn to by its president and secretary, or other proper officers, and shall pay for the filing of the statement the sum of fifty dollars ($50.00).
TN Code § 56-27-118 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-118. Examination — Rehabilitation or Liquidation

 The commissioner has the same authority to examine the service corporation as is granted to the commissioner for the examination of life, accident and health insurance companies, and has the same authority for the correction, rehabilitation or liquidation of the service corporation as is now provided by law for life, health and accident companies.
TN Code § 56-27-119 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-119. Fees and Taxes

 Every medical service corporation, or its agents, subject to this chapter, is subject to the fees and taxes as prescribed for life, health and accident insurance companies and agents of the companies doing business in this state. It is not the purpose of this chapter to discriminate in favor of the medical service corporations.
TN Code § 56-27-120 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-120. Renewals of Licenses — Agents' Certificates of Authority

 All licenses authorizing medical service plan corporations to transact business in this state shall be renewable on April 1 of each year, subject to the approval of the commissioner. Every medical service corporation licensed to do business in this state under this chapter shall obtain from the commissioner a certificate of authority for every agent writing or soliciting medical service plan contracts for the medical service corporation in this state, and the certificate shall be renewable January 1 of each year, subject to applicable sections of the insurance laws, including the revenue law of this state for ordinary life, health and accident insurance agents.
TN Code § 56-27-121 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-121. Orders and Regulations — Rates

 After the issuance of a certificate of authority, the commissioner shall have authority to issue orders or to publish regulations that may be necessary for the proper enforcement of this chapter, and as the commissioner deems are in the public interest. The published regulations of the commissioner will have the effect of statute, and shall include in particular powers of regulating the form of subscription contracts and required and prohibited provisions in the contracts, and all other matters needing further definition or clarification and coming within the requirements of this chapter. The commissioner has the authority to regulate rates as required by statute now in force or hereinafter adopted by the general assembly, as provided for by the regulation of casualty rates or as approved by the commissioner by proper legal regulation.
TN Code § 56-27-122 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-122. Suspension or Cancellation of Licenses — Withdrawal of Approval of Documents — Amendment of Certificate of Authority — Revocation and Amendment of Certificate, Order, Authority or Consent

  The commissioner has the authority to suspend or cancel the license of any medical service corporation or any agent of the corporation for violation of this chapter or of the insurance laws that may apply that are not in conflict with this chapter, after proper legal notice and opportunity of hearing, and subject to judicial review. The commissioner has the authority, after the issuance of a certificate of authority, to withdraw approval that the commissioner may have previously granted of any document required to be filed with the department under any section of this chapter. Such authority includes the right to require a medical service plan corporation to solicit in a manner required by agents' licensing laws, and to fulfill contracts approved by the commissioner, to utilize soliciting methods provided by this chapter, or by other insurance laws, including the agents' licensing law applying to casualty companies, or to operate in a county or counties or area different from those on which the certificate of authority was based, and to comply with other orders and regulations of the commissioner or requirements of this chapter; provided, that the contracts and practices are in compliance with this chapter and are not violative of other laws of this state. The authorization shall be deemed to be an amendment to the original certificate of authority.   The commissioner has the power and authority to revoke and amend, after reasonable notice and hearing, any certificate, order, authority or consent made by the commissioner to a medical service plan corporation, and may also cancel or suspend the authority of the corporation to transact business in any particular county or counties or area if the commissioner finds that less than fifty-one percent (51%) of the eligible licensed doctors of medicine practicing in that county are participating physicians.
TN Code § 56-27-123 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-123. Revocation of License for Violation of This Chapter

  A medical service plan corporation that neglects to make and file its annual statement in the form and within the time provided by § 56-27-117, or neglects to reply in writing to the inquiries of the commissioner and within a reasonable time as may be specified by the commissioner, or who otherwise violates this chapter, shall be subject to revocation of license after proper notice and right of hearing.   Any agent or solicitor who violates this chapter or any written order or official regulation of the commissioner or any other insurance law, particularly the agents' licensing law set forth in chapter 6 of this title, shall be subject to revocation of the person's license after due notice and right of hearing.
TN Code § 56-27-124 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-124. Review of Order of Commissioner — Writ of Certiorari

 A review of any order made by the commissioner pursuant to this chapter may be had in the circuit court of Davidson County, upon a writ of certiorari. Application for the writ shall be made within thirty (30) days after the making of the order by the commissioner.
TN Code § 56-27-125 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-125. Subscription Contract — Duration — Renewal — Termination — Forfeiture of Membership — Deferment of Inception Coverage

 Every subscription contract made by a medical service plan corporation shall provide for the payment of medical services for a period of twelve (12) months from the date of issue of the subscription certificate. The contract may provide that it shall be subject to renewal from year to year unless there has been one (1) month's prior written notice of termination by the medical service plan corporation. A subscriber shall forfeit membership upon failure to renew the subscriber's contract, or upon the subscriber's voluntary resignation. During the first contract year, the contract may provide that the inception coverage may be deferred for not more than two (2) months from date of issue of the contract, and may exclude treatment for illness existing at the inception of the contract.
TN Code § 56-27-127 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-127. Printed Portions of Subscription Certificate

 In the subscription certificate referred to in § 56-27-126:   All printed portions shall be plainly printed in type of which the face is not smaller than ten (10) point;   There shall be a brief description of the subscription certificate on its first page and on its filing back in type of which the face is not smaller than fourteen (14) point. The description shall not be broader than the coverage granted in the contract;   The exceptions of the contract shall appear with the same prominence in the certificate as the benefits to which they apply, and reference to the exceptions by a paragraph section shall be specifically made in the insuring clause;   If the contract contains any provisions purporting to make any portion of the articles of incorporation or of the bylaws of the corporation a part of the contract, the portion shall be set forth in full in the subscription certificate; and  All in a manner and in compliance with published regulations of the commissioner.
TN Code § 56-27-128 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-128. Subscriptions to Provide Medical Care for Needy — Governmental or Private Contributions Authorized

 A medical service plan corporation may, in its discretion, receive and accept from governmental or private agencies or from other persons as defined in this chapter, payments covering all or part of the costs of subscriptions to provide medical care for needy and other individuals. However, all contracts for medical care shall be between the medical service plan corporation and the person to receive the care.
TN Code § 56-27-129 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-129. Settlement of Dispute or Controversy by Commissioner — Review of Decision

 Any dispute or controversy arising between a medical service plan corporation and any participating physician or any physician desiring to become a participating physician, or any subscriber, or any other person whose subscription certificate has been cancelled, or to whom the corporation has refused to issue a certificate, may, within thirty (30) days after the dispute or controversy arises, be appealed by the person allegedly aggrieved to the commissioner, or a person or persons designated by the commissioner. After proper notice and hearing, the commissioner shall render a decision, which shall be binding on any medical service plan corporation or agent of the corporation, subject to judicial review.
TN Code § 56-27-130 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-130. Mailing List of Physicians and Surgeons to Subscribers

 Every medical service plan corporation shall mail annually to each subscriber a list of the names and addresses of all of the physicians and surgeons in the county of the subscriber's residence, who have agreements with the corporation to act as participating physicians.
TN Code § 56-27-131 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-131. Construction of Chapter

 This chapter is not to be construed as prohibiting any insurance company properly qualified in this state to write accident, health or disability insurance from making available any plan of medical service that may be approved by the commissioner under existing statutes or within the authority granted in this chapter, in the same manner and in the same means as granted to benevolent associations.
TN Code § 56-27-132 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 27 - Medical Service Plan Law, 1945|§ 56-27-132. Laws Relating to Practice of Medicine and Surgery or Other Insurance Not Affected

 Nothing in this chapter shall be construed so as to modify, vary or repeal any law now in force relating to the practice of medicine and surgery, or the regulation of ordinary life, accident, and health or casualty insurance, except only as the law is inconsistent with this chapter.