reglab/housing_qa huggingface dataset:
TN Code § 56-6-704 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 7 - Health Care Service Utilization Review Act|§ 56-6-704. Utilization Review Agents

  Utilization review agents shall adhere to the minimum standards set forth in § 56-6-705. Utilization review programs for the mental health and chemical dependency care must comply with the most recent requirements of nationally recognized utilization review accrediting bodies, i.e., the utilization review accreditation commission (URAC) and the national committee for quality assurance (NCQA), if the agent is accredited and with all final security and privacy rules on protected health information as defined in the Health Insurance Portability and Accountability Act (HIPAA). However, nothing in this part shall be construed to require compliance with the final security and privacy rules of HIPAA prior to the compliance dates set by the secretary of health and human services.    A utilization review agent may not conduct utilization review in this state unless the utilization review agent has certified to the commissioner in writing that the agent is in compliance with § 56-6-705. Certification shall be made annually on or before July 1 of each calendar year. In addition, a utilization review agent shall file the following information:  The name, address, telephone number, and normal business hours of the utilization review agent;   The name and telephone number of a person for the commissioner to contact;   A description of the appeal procedures for utilization review determinations; and   Utilization review programs for mental health and chemical dependency care shall make available to a provider submitting patient utilization review information a description of utilization review standards and procedures applicable to that provider.     Any material changes in the information filed in accordance with this section shall be filed with the commissioner within thirty (30) days of the change.     Upon filing the certification, each utilization review agent shall pay an annual fee in the amount of one thousand dollars ($1,000) to the department. The commissioner shall exempt from payment of the annual fee any utilization review agent that has received accreditation by URAC or NCQA. All fees paid to the department under this part shall be held by the commissioner as expendable receipts for the purpose of administering this part.
TN Code § 56-6-706 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 7 - Health Care Service Utilization Review Act|§ 56-6-706. Violations

  Whenever the commissioner has reason to believe that a utilization review agent subject to this part has been or is engaged in conduct that violates this part, the commissioner shall notify the utilization review agent of the alleged violation. The utilization review agent has thirty (30) days from the date the notice is received to respond to the alleged violation.   If the commissioner believes the utilization review agent has violated this part, or is not satisfied that the alleged violation has been corrected, the commissioner may conduct a contested case hearing on the alleged violation in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.   If, after the hearing, the commissioner determines that the utilization review agent has engaged in violations of this part, the commissioner shall reduce the findings to writing and shall issue and cause to be served upon the utilization review agent a copy of the findings and an order requiring the utilization review agent to cease and desist from engaging in the violations. The commissioner may also, at the commissioner's discretion, order:  Payment of a penalty of not more than ten thousand dollars ($10,000) in the aggregate for a violation that occurred with such frequency as to indicate a general business pattern or practice; or   Suspension or revocation of the authority to do business in this state as a utilization review agent if the utilization review agent knew the act was in violation of this chapter and repeated the act with such frequency as to indicate a general business pattern or practice.
TN Code § 56-6-801 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-801. Short Title

 This part shall be known and may be cited as the “Reinsurance Intermediary Act.”
TN Code § 56-6-804 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-804. Authorization of Transactions

 Transactions between an RB and the insurer the RB represents in that capacity shall only be entered into pursuant to a written authorization specifying the responsibilities of each party. The authorization shall, at a minimum, provide that:   The insurer may terminate the RB's authority at any time;   The RB will render accounts to the insurer accurately detailing all material transactions, including information necessary to support all commissions, charges, and other fees received by, or owing to, the RB, and remit all funds due to the insurer within thirty (30) days of receipt;   All funds collected for the insurer's account will be held by the RB in a fiduciary capacity in a bank that is a qualified United States financial institution as defined in § 56-6-802;   The RB will comply with § 56-6-805;   The RB will comply with the written standards established by the insurer for the cession or retrocession of all risks; and   The RB will disclose to the insurer any relationship with any reinsurer to which business will be ceded or retroceded.
TN Code § 56-6-805 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-805. Recordkeeping — Auditing by Insurer

  For at least ten (10) years after expiration of each contract of reinsurance transacted by the RB, the RB will keep a complete record for each transaction showing:  The type of contract, limits, underwriting restrictions, classes of risks and territory;   Period of coverage, including effective and expiration dates, cancellation provisions and notice required of cancellation;   Reporting and settlement requirements of balances;   Rate used to compute the reinsurance premium;   Names and addresses of assuming reinsurers;   Rates of all reinsurance commissions, including the commissions on any retrocessions handled by the RB;   Related correspondence and memoranda;   Proof of placement;   Details regarding retrocessions handled by the RB including the identity of retrocessionaires and percentage of each contract assumed or ceded;   Financial records, including, but not limited to, premium and loss accounts; and   When the RB procures a reinsurance contract on behalf of a licensed ceding insurer:  Directly from any assuming reinsurer, written evidence that the assuming reinsurer has agreed to assume the risk; or   If placed through a representative of the assuming reinsurer, other than an employee, written evidence that the reinsurer has delegated binding authority to the representative.       The insurer will have access to, and the right to copy and audit, all accounts and records maintained by the RB related to its business in a form usable by the insurer.
TN Code § 56-6-806 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-806. Use of Reinsurance Intermediary Brokers Restricted — Financial Statements

  An insurer shall not engage the services of any person, firm, association or corporation to act as an RB on its behalf unless the person is licensed as required by § 56-6-803(a).   An insurer may not employ an individual who is employed by an RB with which it transacts business, unless the RB is under common control with the insurer and subject to chapter 11 of this title.   The insurer shall annually obtain a copy of a statement of the financial condition of each RB with which it transacts business.
TN Code § 56-6-808 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-808. Prohibited Acts

 The RM shall not:   Cede retrocessions on behalf of the reinsurer, except that the RM may cede facultative retrocessions pursuant to obligatory facultative agreements if the contract with the reinsurer contains reinsurance underwriting guidelines for the retrocessions. The guidelines shall include a list of reinsurers with which the automatic agreements are in effect, and for each reinsurer, the coverages and amounts or percentages that may be reinsured and commission schedules;   Commit the reinsurer to participate in reinsurance syndicates;   Appoint any producer without assuring that the producer is lawfully licensed to transact the type of reinsurance for which the producer is appointed;   Without prior approval of the reinsurer, pay or commit the reinsurer to pay a claim, net of retrocessions, that exceeds the lesser of an amount specified by the reinsurer or one percent (1%) of the reinsurer's policyholders' surplus as of December 31 of the last complete calendar year;   Collect any payment from a retrocessionaire or commit the reinsurer to any claim settlement with a retrocessionaire, without prior approval of the reinsurer. If prior approval is given, a report must be promptly forwarded to the reinsurer;   Jointly employ an individual who is employed by the reinsurer unless the RM is under common control with the reinsurer subject to the Insurance Holding Company Act, compiled in chapter 11 of this title; or   Appoint a sub-RM.
TN Code § 56-6-809 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-809. Transactions Between Intermediaries

  A reinsurer shall not engage the services of any person, firm, association or corporation to act as an RM on its behalf unless the person is licensed as required by § 56-6-803(a).   The reinsurer shall annually obtain a copy of statements of the financial condition of each RM that the reinsurer has engaged prepared by an independent certified accountant in a form acceptable to the commissioner.   If an RM establishes loss reserves, the reinsurer shall annually obtain the opinion of an actuary attesting to the adequacy of loss reserves established for losses incurred and outstanding on business produced by the RM. This opinion shall be in addition to any other required loss reserve certification.   Binding authority for all retrocessional contracts of participation in reinsurance syndicates shall rest with an officer of the reinsurer who shall not be affiliated with the RM.   Within thirty (30) days of termination of a contract with an RM, the reinsurer shall provide written notification of the termination to the commissioner.   A reinsurer shall not appoint to its board of directors any officer, director, employee, controlling shareholder or subproducer of its RM. This subsection (f) shall not apply to relationships governed by chapter 11 of this title.
TN Code § 56-6-810 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-810. Examinations by Commissioner

 A reinsurance intermediary shall be subject to examination by the commissioner. The commissioner shall have access to all books, bank accounts and records of the reinsurance intermediary in a form usable to the commissioner.
TN Code § 56-6-811 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-811. Violations — Penalties

  A reinsurance intermediary, insurer or reinsurer found by the commissioner, after a hearing conducted in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5, to be in violation of this part, shall:  For each separate violation, pay a penalty in an amount not exceeding five thousand dollars ($5,000);   Be subject to revocation or suspension of its license; and   If a violation was committed by the reinsurance intermediary, the reinsurance intermediary shall make restitution to the insurer, reinsurer, rehabilitator or liquidator of the insurer or reinsurer for the net losses incurred by the insurer or reinsurer attributable to the violation.     The decision, determination or order of the commissioner pursuant to subsection (a) shall be subject to judicial review in accordance with the Uniform Administrative Procedures Act.   Nothing contained in this section shall affect the right of the commissioner to impose any other penalties provided in this title.   Nothing contained in this part is intended to or shall in any manner limit or restrict the rights of policyholders, claimants, creditors or other third parties or confer any rights to those persons.
TN Code § 56-6-812 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 8 - Reinsurance Intermediary Act|§ 56-6-812. Rules and Regulations

 The commissioner may adopt reasonable rules and regulations for the implementation and administration of this part.
TN Code § 56-6-901 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 9 - Tennessee Public Adjuster Licensing Act of 2006|§ 56-6-901. Short Title — Scope of Part

  This part shall be known and may be cited as the “Tennessee Public Adjuster Licensing Act of 2006.”   This part governs the qualifications and procedures for the licensing of public adjusters. It specifies the duties of and restrictions on public adjusters, which include limiting their licensure to assisting insureds in first party claims.
TN Code § 56-6-903 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 9 - Tennessee Public Adjuster Licensing Act of 2006|§ 56-6-903. License Requirement

  No person shall act or hold out as being a public adjuster as defined in § 56-6-902, unless licensed as a public adjuster in accordance with this part.   A person licensed as a public adjuster shall not misrepresent to a claimant that the person is an adjuster acting on behalf of or aiding an insurer in any capacity, including acting as an employee of the insurer or acting as an independent adjuster, unless so appointed by an insurer in writing to act on the insurer's behalf for that specific claim or purpose.   A business entity acting as a public adjuster is required to obtain a public adjuster license. Application shall be made using the uniform business entity application. Before approving the application, the commissioner shall find that:  The business entity has paid the fees set forth in the rule promulgated under § 56-6-905(a)(5); and   The business entity has designated a licensed public adjuster responsible for the business entity's compliance with the insurance laws, rules and regulations of this state.     Notwithstanding this section, a license as a public adjuster shall not be required of the following:  An attorney at law admitted to practice in this state, or an employee of the attorney acting under the attorney's supervision;   A person who negotiates or settles claims arising under a life or health insurance policy or an annuity contract;   A person employed only for the purpose of obtaining facts surrounding a loss, or furnishing technical assistance to a licensed public adjuster, including, but not limited to, photographers, contractors, appraisers of value, private investigators, engineers and handwriting experts;   A licensed health care provider, or employee of a licensed health care provider, who prepares or files a health claim form on behalf of a patient;   A person who settles subrogation claims between insurers; or   A person who is employed by, or under contract to, an insurance company.
TN Code § 56-6-904 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 9 - Tennessee Public Adjuster Licensing Act of 2006|§ 56-6-904. Application Requirements — Authority to Require Fingerprints — Criminal History Record Checks

  A person applying for a public adjuster license shall make application to the commissioner on the appropriate uniform application or other application prescribed by the commissioner.   The applicant shall declare, under penalty of perjury and under penalty of refusal, suspension or revocation of the license, that the statements made in the application are true, correct and complete to the best of the applicant's knowledge and belief.   In order to make a determination of license eligibility, the commissioner is authorized to require fingerprints of applicants and submit the fingerprints and the fee required to perform the criminal history record checks to the Tennessee bureau of investigation (TBI) and the federal bureau of investigation (FBI) for state and national criminal history record checks. The commissioner shall require a criminal history record check on each applicant in accordance with this part. The commissioner shall require each applicant to submit a full set of fingerprints in order for the commissioner to obtain and receive national criminal history records from the FBI criminal justice information services division.  The commissioner may contract for the collection, transmission and resubmission of fingerprints required under this section. If the commissioner does so, the fee for collecting, transmitting and retaining fingerprints shall be payable directly to the contractor by the applicant. The commissioner may agree to a reasonable fingerprinting fee to be charged by the contractor.   The commissioner may waive submission of fingerprints by any person that has previously furnished fingerprints and maintains fingerprints on file with the central repository of the NAIC, its affiliates or subsidiaries.   The commissioner is authorized to submit electronic fingerprint records and necessary identifying information to the NAIC, its affiliates or subsidiaries, for permanent retention in a centralized repository. The purpose of a centralized repository is to provide insurance commissioners with access to fingerprint records, in order to perform criminal history record checks.
TN Code § 56-6-905 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 9 - Tennessee Public Adjuster Licensing Act of 2006|§ 56-6-905. Requirements for Licensure

  Before issuing a public adjuster license to an applicant under this part, the commissioner shall find that the applicant:  Is eligible to designate this state as the applicant's home state or is eligible for a license pursuant to § 56-6-908;   Has not committed any act that is a ground for denial, suspension or revocation of a license as set forth in § 56-6-910;   Is trustworthy, reliable, and of good reputation;   Is financially responsible to exercise the license, and has provided proof of financial responsibility as required in § 56-6-911;   Has paid the fees set forth by rule or regulation of the commissioner; and   Maintains an office in the applicant's home state of residence, with public access by reasonable appointment or regular business hours, or both.     In addition to satisfying the requirements of subsection (a), unless exempted pursuant to this part, an individual shall:  Be at least eighteen (18) years of age;   Have successfully passed the public adjuster examination;   Designate a licensed individual public adjuster responsible for the business entity's compliance with the insurance laws, rules, and regulations of this state; and   Designate only licensed individual public adjusters to exercise the business entity's license.     The commissioner may require any documents reasonably necessary to verify the information contained in the application.
TN Code § 56-6-906 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 9 - Tennessee Public Adjuster Licensing Act of 2006|§ 56-6-906. Written Examination

  An individual applying for a public adjuster license under this part shall pass a written examination, unless exempt pursuant to § 56-6-907. The examination shall test the knowledge of the individual concerning the duties and responsibilities of a public adjuster and the insurance laws and regulations of this state. Examinations required by this section shall be developed and conducted under rules and regulations prescribed by the commissioner.   The commissioner may make arrangements, including contracting with an outside testing service, for administering examinations and collecting a nonrefundable fee in an amount set forth by rule by the commissioner.   Each individual applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner, in an amount set by rule promulgated by the commissioner.   An individual who fails to appear for the examination as scheduled, or fails to pass the examination, shall reapply for an examination and remit all required fees and forms before being rescheduled for another examination.
TN Code § 56-6-907 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 6 - Agents, Solicitors and Administrators|Part 9 - Tennessee Public Adjuster Licensing Act of 2006|§ 56-6-907. Exemptions From Examination

  An individual who applies for a public adjuster license in this state who was previously licensed as a public adjuster in another state based on a public adjuster examination shall not be required to take or complete any prelicensing examination. This exemption is only available if the individual is currently licensed in that state, or if the application is received within twelve (12) months of the cancellation or termination of the applicant's previous license, and:  The prior state issues a certification that, at the time of cancellation or termination, the applicant was in good standing in that state or the state's producer database records; or   Records maintained by the NAIC, its affiliates or subsidiaries, indicate that the public adjuster is or was licensed in good standing at the time of cancellation or termination.     A person licensed as a public adjuster in another state, based on a public adjuster examination, who moves to this state shall make application within ninety (90) days of establishing legal residence to become a resident licensee, pursuant to § 56-6-905. No prelicensing examination shall be required of that person to obtain a public adjuster license.   An individual who applies for a public adjuster license in this state who was previously licensed as a public adjuster in this state shall not be required to complete any prelicensing examination. This exemption is only available if the application is received within twelve (12) months of the cancellation or termination of the applicant's previous license in this state, and if, at the time of cancellation or termination, the applicant was in good standing in this state.