reglab/housing_qa huggingface dataset:
TN Code § 56-7-1902 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 19 - Cancellation of Personal Risk Insurance|§ 56-7-1902. Statement of Reasons for Nonrenewal — Liability of Information Providers

  Unless the nonrenewal notice contains a reason for the nonrenewal action, the notice shall advise the insured that upon written request of the named insured, mailed or delivered to the insurer not later than fifteen (15) days after the effective date of the nonrenewal, the insurer will within twenty (20) days mail to the named insured a written statement specifying a reason for the nonrenewal action.   There shall be no liability on the part of, and no cause of action of any nature shall arise against, any insurer, its authorized representative, its agents, its employees, or against any firm, person or corporation furnishing information to the insurer, as to the reason for nonrenewal.
TN Code § 56-7-2001 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 20 - Memphis Plan Act of 1991|§ 56-7-2001. Short Title

 This part shall be known and may be cited as the “Memphis Plan Act of 1991.”
TN Code § 56-7-2002 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 20 - Memphis Plan Act of 1991|§ 56-7-2002. Purpose

 The general assembly finds that there is a problem with availability and affordability of health care services for lower income persons. It is, therefore, the intent of this general assembly to make coverage more available and affordable by authorizing the development of innovative plans to prepay the coverage.
TN Code § 56-7-2003 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 20 - Memphis Plan Act of 1991|§ 56-7-2003. Plan Not Deemed to Be Insurance — Conditions

 A plan that provides health care services to low income individuals on a prepaid basis shall not be deemed to be insurance within § 56-7-101, or a service plan or corporation or health maintenance organization within Chapters 27 32 of this title, or any other provision of this title; provided, that the plan meets the following conditions:   Eligibility in the plan is limited to persons employed in businesses employing two hundred (200) eligible persons or fewer and persons engaged in domestic service in private households and dependents of those persons, where the persons earn less than two hundred percent (200%) of the federal poverty level and are not covered under any other group insurance arrangement;   The plan is operated on a not-for-profit basis under the sponsorship of a not-for-profit organization;   Covered primary care services are provided to enrollees either by providers on staff of the sponsoring organization or by volunteers recruited from a local medical society who have, in both instances, agreed to provide their services for free or for nominal reimbursement for out-of-pocket expenses and/or expendable supplies directly related to, and incurred as a result of, the service provided to the enrollee;   Payments to outside contractors for marketing, claims administration and similar services total no more than ten percent (10%) of the total charges;   The plan has received the approval and endorsement of the local medical society in consultation with the Tennessee Medical Association;   Except as provided in subdivision (3), no portion of any fees or charges under the plan shall be paid directly or indirectly as salary to any officer or director of the sponsoring not-for-profit corporation; and   The sponsoring not-for-profit corporation files an annual report with the commissioner within ninety (90) days of the close of the corporation's fiscal year that includes, at a minimum, the following information:  The number of plan enrollees;   Total services rendered under the plan;   Plan financial statements;   Administrative costs and salaries paid by the plan; and   Other information that may be reasonably requested by the commissioner.
TN Code § 56-7-2004 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 20 - Memphis Plan Act of 1991|§ 56-7-2004. Maintenance of Minimum Essential Health Coverage

 Coverage made available under the plan shall constitute minimum essential health coverage for purposes of compliance with 26 U.S.C. § 5000A.
TN Code § 56-7-2005 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 20 - Memphis Plan Act of 1991|§ 56-7-2005. Presumption That Operating Entity Satisfies Requirements Regarding Health Care Sharing Ministries

 Operation consistent with the standards described in § 56-7-2003 shall create a presumption that the operating entity satisfies the requirements of 26 U.S.C. § 5000A(d)(2)(B)(ii).
TN Code § 56-7-2101 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 21 - Pet Insurance|§ 56-7-2101. “Pet” Defined

 As used in this part, “pet” means any domesticated animal normally maintained in or near the household of its owner.
TN Code § 56-7-2102 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 21 - Pet Insurance|§ 56-7-2102. Policies or Contracts

 Any insurer writing any coverage to which this title applies may offer group or individual policies or contracts that provide benefits for hospital and medical services for pets; provided, that these services are provided by a veterinarian licensed pursuant to title 63, chapter 12, or by the laws of any other state. The policy or contract may provide for exclusions or deductibles, or both.
TN Code § 56-7-2103 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 21 - Pet Insurance|§ 56-7-2103. Disclosure

 All policies issued pursuant to this part shall clearly disclose on the face of the policy:   The annual premium for the policy; and   The benefits provided by the policy.
TN Code § 56-7-2201 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2201. Short Title

 This part shall be known and may be cited as the “Tennessee Small Employer Group Health Coverage Reform Act.”
TN Code § 56-7-2202 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2202. Legislative Purpose

 The purpose and intent of this part is to promote the availability of accident and health insurance coverage to small employers, to prevent abusive rating practices, to require disclosure of rating practices to purchasers, to establish rules for continuity of coverage for employers and covered individuals and to improve the efficiency and fairness of the small group accident and health insurance marketplace.
TN Code § 56-7-2204 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2204. Affiliated Companies

 For the purposes of this part, companies that are affiliated companies or that are eligible to file a consolidated tax return shall be treated as one (1) carrier, except that with respect to affiliated companies, all of which are in existence and affiliated on January 1, 1992, the group of affiliated companies is considered to be one (1) carrier only after one (1) member of the group transfers any small employer business to another member of the group, and except that any insurance company, hospital service plan or medical service plan that is an affiliate of an HMO located in this state or any HMO located in this state that is an affiliate of an insurance company, a health service corporation or a medical service corporation may treat the HMO as a separate carrier and each HMO that operates only one (1) HMO in a service area of this state may be considered a separate carrier.
TN Code § 56-7-2205 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2205. Distinct Grouping — Additional Groupings

  A distinct grouping may only be established by a small employer carrier on the basis that the applicable health benefit plans:  Are marketed and sold through individuals and organizations that are not participating in the marketing or sale of other distinct groupings of small employers for the small employer carrier;   Have been acquired from another small employer carrier as a distinct grouping of plans; or   Are provided through an association with membership of not less than ten (10) small employers that has been formed for purposes other than obtaining insurance.     A small employer carrier may establish no more than two (2) additional groupings under subdivision (a)(1), (a)(2) or (a)(3) on the basis of underwriting criteria that are expected to produce substantial variation in the health care costs.   The commissioner may approve the establishment of additional distinct groupings upon application to the commissioner and the commissioner's determination that the action would enhance the efficiency and fairness of the small employer marketplace.
TN Code § 56-7-2206 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2206. Applicability

  A health benefit plan is subject to this part if it provides health benefits for small employers and if either of the following conditions is met:  Any part of the premiums or benefits is paid by a small employer, or any covered individual is reimbursed, whether through wage adjustments or otherwise, by a small employer for any portion of the premium, or for which the small employer has permitted payroll deduction for the covered individual, whether or not the coverage is issued through a group or individual policy of insurance, and whether or not the small employer pays any part of the premium; or   The health benefit plan is treated by the employer or any of the covered individuals as part of a plan or program for the purpose of § 106 or § 162 of the Internal Revenue Code (26 U.S.C. §§ 106 and 162).     Chapter 5, part 3 of this title does not apply to individual accident and health insurance policies or contracts to the extent they are subject to this part.
TN Code § 56-7-2209 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2209. Liability of Health Group Cooperative

  A health group cooperative shall not be liable for, nor shall a member of the board of directors, the executive director, an employee, or an agent of a cooperative, be liable for:  An act performed in good faith in the execution of duties in connection with the cooperative; or   An independent action of a small employer insurer or a person who provides health care services under a health insurance plan.     A health group cooperative shall not be liable for, nor shall a member of the board of directors, the executive director, an employee, or an agent be liable for a failure to arrange for coverage of a particular illness, disease, or health condition.
TN Code § 56-7-2210 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2210. Duties of a Health Group Cooperative

 A health group cooperative:   Shall arrange for group health insurance plan coverage for small employers who are members of the cooperative by contracting with small employer insurers who meet the criteria established by this part for coverage under group health insurance plans;   Shall collect premiums to cover the cost of:  Group health insurance plan coverage purchased through the cooperative; and   The cooperative's administrative expenses;     May contract with agents to market coverage issued through the cooperative;   Shall establish administrative and accounting procedures for the operation of the cooperative;   May contract with a small employer insurer or third-party administrator to provide administrative services to the cooperative;   Shall contract with a small employer insurer for the provision of services to small employers covered through the cooperative;   Shall develop and implement a plan to maintain public awareness of the cooperative and publicize the eligibility requirements for, and the procedures for, enrollment in coverage through the cooperative;   May negotiate the premiums paid by its members; and   May obtain from the cooperative's selected insurer other ancillary health insurance products and services for its members as are customarily offered in conjunction with group health insurance plans.
TN Code § 56-7-2211 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 22 - Tennessee Small Employer Group Health Coverage Reform Act|§ 56-7-2211. Contracting With a Small Employer Insurer — Compliance With Federal Laws

  A health group cooperative shall contract only with a small employer insurer that demonstrates:  That the insurer or health maintenance organization is licensed and in good standing with the department;   The capacity to administer the group health insurance plans;   The ability to monitor and evaluate the quality and cost effectiveness of care and applicable procedures;   The ability to conduct utilization management and applicable procedures and policies;   The ability to assure enrollees a sufficient number of health care providers, including specialty providers; and   A satisfactory grievance procedure and the ability to respond to enrollees' calls, questions, and complaints.     A health group cooperative shall comply with federal laws applicable to cooperatives and group health insurance plans issued through cooperatives, to the extent required by federal law and this title or rules promulgated pursuant to this title.
TN Code § 56-7-2301 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2301. Health Insurance — Newly Born Children — Coverage — Notification

  All individual and group health insurance policies providing coverage on an expense incurred basis and individual and group service or indemnity type contracts issued by a nonprofit corporation that provide coverage for a child of the insured or subscriber shall, as to the child's coverage, also provide that the health insurance benefits applicable to children, if any, shall be payable with respect to a newly born child of the insured or subscriber from the moment of birth.   The coverage for newly born children shall, in addition to coverage for infants placed in the well-child care unit, consist of coverage of injury or sickness, including the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities. The coverage of newly born infants and pregnant women shall also include coverage for testing as provided in § 68-5-401(a)(2).   If payment of a specific premium or subscription fee is required to provide coverage for a child, the policy or contract may require that notification of birth of a newly born child and payment of the required premium or fee must be furnished to the insurer or nonprofit service or indemnity corporation within thirty-one (31) days after the date of birth in order to have the coverage continue beyond the thirty-one-day period.   The requirements of this section apply to all insurance policies and subscriber contracts delivered or issued for delivery in this state more than one hundred twenty (120) days after July 1, 1974, and to those policies and subscriber contracts that are substantially amended after July 1, 1980.   If and only if a person or the person's spouse is pregnant at the time health insurance coverage is purchased, then at the time of the purchase this section may be contractually waived with respect to health insurance coverage for an unborn child and/or the right of the person to purchase health insurance coverage for the unborn child.
TN Code § 56-7-2303 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2303. Forfeiture and Lapse Restrictions

  No insurance company doing business in this state shall declare any life insurance policy or any noncancellable or guaranteed renewable accident and health insurance policy owned by a resident of this state forfeited or lapsed within six (6) months after default in payment of any premium, installment or interest, unless a written or printed notice stating the amount of the premium, installment or interest due on the policy, the place where it shall be paid and the name and address of the person or company to which it is payable, has been duly addressed and mailed with the required postage affixed, to the policy owner at the policy owner's last known post office address as shown by the records of the insurance company, on or before the day the premium, installment or interest is due and payable, before the beginning of the period of grace. The notice shall also state that unless the premium or other sums are paid to the company or its agent, the policy will lapse or be forfeited, except as to nonforfeiture options that may be provided for by any life insurance policy. “Policy owner,” as used in this section, means the owner of the policy, or other person designated as the person to receive premium notices, all as shown by the records of the insurance company.   The affidavit of any responsible officer, clerk or agent of the insurance company authorized to mail the notice that it is the standard practice of the company to duly address and mail to policyowners the notice required by this section shall be prima facie evidence that the notice has been duly given.   No action shall be maintained to recover under a lapsed or forfeited policy on the ground that the insurance company failed to comply with this section, unless instituted within two (2) years from the due date upon which default was made in paying the premium, installment or interest for which it is claimed that lapse or forfeiture ensued.   This section does not apply to group or group-type policies, to industrial life or accident and health policies, to any policies upon which premiums are payable monthly or at more frequent intervals, or to policies for which premiums are billed to and payable through an employer.
TN Code § 56-7-2304 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2304. Continuation of Coverage on Group Contracts

 The commissioner is authorized to adopt rules applicable to insurance policies and subscriber contracts provided by an insurance company or a nonprofit service corporation on a group or group-type basis establishing reasonable requirements for extension of benefits and determination of claim liability in the event of discontinuance of coverage for nonpayment of premiums or replacement of coverage by another carrier. All rules must be promulgated in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5, and shall provide for any notices required that notice to the group policyholder or subscriber contract holder are deemed notice to the employee, member, or subscriber. No rule shall require the extension of coverage, except as to policies or contracts issued, altered, or amended after the effective date of the rule.
TN Code § 56-7-2306 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2306. Group Life Insurance — Prior Policies Unaffected

 Section 56-7-2305 does not apply to any policy or contract of group life insurance legally in effect March 8, 1957, or any renewal or renewals of the policy or contract.
TN Code § 56-7-2310 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2310. Character of Life Insurance Policies to Be Printed or Stamped Thereon

 All life insurance companies authorized to do the business of life insurance in this state are required to print, in conspicuous type, on the face or first page of each policy sold to citizens of this state, words correctly describing the character of the policy.
TN Code § 56-7-2313 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2313. Converted Policy — Conditions

 Issuance of a converted policy shall be subject to the following conditions:   Written application for the converted policy shall be made and the first premium paid to the insurer not later than thirty-one (31) days after the termination under the group policy;   The converted policy shall be issued without evidence of insurability;   The initial premium for the converted policy for the first twelve (12) months and subsequent renewal premiums shall be determined in accordance with the insurer's table of premium rates applicable to the age and class of risk of each person to be covered under the converted policy and to the type and amount of insurance provided;   The effective date of the converted policy shall be the day following the termination of insurance under the group policy; and   The converted policy shall cover the employee or member and the person's dependents who were covered by the group policy on the date of termination of insurance. At the option of the insurer, a separate converted policy may be issued to cover any dependent.
TN Code § 56-7-2314 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 23 - Mandated Insurer or Plan Coverage|§ 56-7-2314. Conditions Exempting Insurer From Conversion Requirement

 The insurer shall not be required to issue a converted policy covering any person if the person is or could be covered by medicare under Title XVIII of the federal Social Security Act (42 U.S.C. § 1395 et seq.); furthermore, the insurer shall not be required to issue a converted policy covering any person if:    The person is covered for similar benefits by another hospital, surgical, medical or major medical expense insurance policy or hospital or medical service subscriber contract or medical practice or other prepayment plan or by any other plan or program;   The person is eligible for similar benefits, whether or not covered for the benefits, under any arrangement of coverage for individuals in a group, whether on an insured or uninsured basis; or   Similar benefits are provided for or are available to the person, pursuant to or in accordance with the requirements of any state or federal law; and     The benefit provided under the sources referred to in subdivision (1)(A) for the person or benefits provided or available under the sources referred to in subdivisions (1)(B) and (C) for the person, together with the benefits provided by the converted policy, would result in overinsurance according to the insurer's standards. The insurer's standards must bear some reasonable relationship to actual health care costs in the area in which the insured lives at the time of conversion and must be filed with the commissioner prior to their use in denying coverage.