reglab/housing_qa huggingface dataset:
TN Code § 56-31-121 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-121. Suspension or Cancellation of License — Withdrawal of Approval of Documents — Revocation and Amendment of Certificate, Order, Authority or Consent

  The commissioner has the authority to suspend or cancel the license of any vision service plan corporation or any agent of the corporation for violation of this chapter or violation of the insurance laws that may apply and that are not in conflict with this chapter, after proper legal notice and a hearing, which action of the commissioner shall be subject to judicial review. The commissioner has the authority, after the issuance of a certificate of authority, to withdraw approval, previously granted, of any document required to be filed with the department under any section of this chapter. In addition, the commissioner has the authority to require a vision 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, to operate in a county or counties or area different from those to which the certificate of authority was granted, and to comply with all other orders and regulations of the commissioner.   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 vision 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 optometrists practicing in that county are participating optometrists and that less than twenty-five percent (25%) of the optometrists duly licensed to practice in this state have agreed to render vision services for corporations organized or to be organized pursuant to this chapter.
TN Code § 56-31-122 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-122. Revocation of License for Violation of Chapter

 A vision service plan corporation that neglects to make and file its annual statement in the form and within the time provided by this chapter, or neglects to reply in writing to the inquiries of the commissioner within a reasonable time as 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 shall be subject to revocation of license after due notice and right of hearing.
TN Code § 56-31-123 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-123. 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 entry of the order by the commissioner.
TN Code § 56-31-124 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-124. Subscription Contracts — Right to Enter — Rates — Professional Relationship

 Each nonprofit vision service corporation may contract with its subscribers for vision services that may be from time to time provided under the nonprofit vision service plan adopted by the corporation. The rates charged by the nonprofit vision service corporation to its subscribers shall be consistent with the proper conduct of its business and the interest of the public and shall be subject to the approval of the commissioner. Nothing contained in this chapter or in any nonprofit vision service plan shall affect the ordinary professional relationship between the person rendering vision services under the plan and the subscriber to whom the services are rendered, and no action based upon or arising out of the relationship or relating to vision services rendered pursuant to a nonprofit vision service plan shall be maintained against the nonprofit vision service corporation operating the plan.
TN Code § 56-31-125 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-125. Subscription Contract — Duration — Renewal — Termination — Forfeiture of Membership — Deferment of Inception Coverage

 Every subscription contract made by a vision service plan corporation shall provide for the payment of vision services for a minimum 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 thereafter from year to year unless there has been one (1) month's prior written notice of termination by the vision service plan corporation. A subscriber shall forfeit membership upon failure to renew the contract, or upon 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.
TN Code § 56-31-127 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-127. Form of Subscription Certificate

 In every subscription certificate or descriptive brochure referred to in this chapter:   All printed portions shall be plainly printed in type of which the face is not smaller than ten-point type;   There shall be a brief description of the subscription certificate on its first page and on the back in type not smaller than fourteen-point type. 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 of the contract, and reference to the exceptions shall be specifically made in the insuring clause; and   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, that portion shall be set forth in full in the subscription certificate.
TN Code § 56-31-128 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-128. Subscriptions for Vision Care for Needy — Governmental or Private Contributions Authorized

 A vision service plan corporation may, in its discretion, receive and accept from governmental or private agencies or from other persons payments covering all or part of the costs of subscriptions to provide vision care for needy and other individuals.
TN Code § 56-31-129 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-129. Settlement of Dispute or Controversy by Commissioner — Review of Decision

 Any dispute or controversy arising between a vision service plan corporation and any participating optometrist, or any optometrist desiring to become a participating optometrist, 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 to the commissioner, by the person allegedly aggrieved, or a person or persons designated by that person. After proper notice and hearing, the commissioner shall make a finding, which shall be binding on any vision service plan corporation or agent of the corporation, subject to judicial review.
TN Code § 56-31-130 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-130. Construction of Chapter

 This chapter is not to be construed as prohibiting any insurance company, properly qualified in this state to write accident or health or disability insurance, from making available any plan of vision service that may be approved by the commissioner under existing statutes or within the authority granted to benevolent associations.
TN Code § 56-31-131 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 31 - Vision Service Plan Law|§ 56-31-131. Laws Relating to Practice of Medicine or Surgery or Optometry or Other Insurance Not Affected

 Nothing in this chapter shall be construed to modify or repeal any law, or parts of law, now in force relating to the practice of medicine or surgery, or to the practice of optometry, or to the regulation of life, accident, health or casualty insurance, except as it is inconsistent with this chapter.
TN Code § 56-32-101 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-101. Short Title

 This chapter shall be known and may be cited as the “Health Maintenance Organization Act of 1986.”
TN Code § 56-32-105 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-105. Powers — Limitations — Hold Harmless Clause

  The powers of an HMO include, but are not limited to, the following:  The purchase, lease, construction, renovation, operation or maintenance of hospitals or medical facilities, or both, and their ancillary equipment, and property reasonably required for its principal office or for purposes necessary in the transaction of the business of the organization;   The making of loans to a medical group under contract with it in furtherance of its program or the making of loans to a corporation or corporation under its control for the purpose of acquiring or constructing medical facilities and hospitals or in furtherance of a program providing health care services to enrollees;   The furnishing of health care services through providers that are under contract with or employed by the HMO;   The contracting with any person for the performance on its behalf of certain functions, such as marketing, enrollment and administration;   The contracting with an insurance company licensed in this state, or with a hospital or medical service corporation authorized to do business in this state, for the provision of insurance, indemnity, or reimbursement against the cost of health care services provided by the HMO; and   The offering of other health care services, in addition to basic health care services.     An HMO shall file notice, with adequate supporting information, with the commissioner prior to the exercise of any power granted in subdivision (a)(1), (a)(2) or (a)(4), if the dollar amount resulting from such action would exceed twenty-five percent (25%) of surplus. The commissioner shall disapprove the exercise of power only if in the commissioner's opinion it would substantially and adversely affect the financial soundness of the HMO and endanger its ability to meet its obligations. If the commissioner does not disapprove within thirty (30) days of the filing, it shall be deemed approved.   All provider contracts must include a hold harmless clause that will relieve any enrollee of a licensed HMO from any liability for services rendered by the providers except for reasonable copayment and uncovered expenses.
TN Code § 56-32-106 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-106. Fiduciaries — Bonds

  Any director, officer, employee or partner of an HMO who receives, collects, disburses or invests funds in connection with the activities of the organization shall be responsible for the funds in a fiduciary relationship to the organization.   An HMO shall maintain in force a fidelity bond on employees and officers in an amount not less than one hundred thousand dollars ($100,000) or such other sum as prescribed by the commissioner. The bonds shall be written with at least a one-year discovery period and, if written with at least a three-year discovery period, shall contain a provision that no cancellation or termination of the bond, whether by or at the request of the insured or by the underwriter, shall take effect prior to the expiration of ninety (90) days after written notice of the cancellation or termination has been filed with the commissioner, unless an earlier date of cancellation or termination is approved by the commissioner.
TN Code § 56-32-108 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-108. Reports

 Every HMO shall annually, on or before March 1, file with the commissioner a report on the blank prescribed by the National Association of Insurance Commissioners for HMOs. The commissioner may require additional reports deemed reasonably necessary and appropriate to enable the commissioner to carry out the commissioner's duties under this chapter.
TN Code § 56-32-109 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-109. Notice of Change in Operation

 Every HMO shall provide promptly to its enrollees notice of any material change in the operation of the organization that will affect them directly.
TN Code § 56-32-111 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-111. Investments

 With the exception of investments made in accordance with § 56-32-105, the funds of an HMO shall be invested only in securities or other investments permitted by the laws of this state for the investment of assets constituting the legal reserves of life insurance companies or other securities or investments that the commissioner permits.
TN Code § 56-32-113 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-113. Prohibited Practices

  No HMO or representative of the HMO may cause or knowingly permit the use of advertising that is untrue or misleading, solicitation that is untrue or misleading, or any form of evidence of coverage that is deceptive. For the purpose of this chapter:  A statement or item of information shall be deemed to be untrue if it does not conform to fact in any respect that is or may be significant to an enrollee of, or person considering enrollment with, an HMO;   A statement or item of information shall be deemed to be misleading, whether or not it may be literally untrue, if, in the total context in which the statement is made or the item of information is communicated, the statement or item of information may be reasonably understood by a reasonable person, not possessing special knowledge regarding health care coverage, as indicating any benefit or advantage or the absence of any exclusion, limitation or disadvantage or possible significance to an enrollee of, or person considering enrollment in, an HMO, if the benefit or advantage or absence or limitation, exclusion or disadvantage does not in fact exist; and   An evidence of coverage shall be deemed to be deceptive if the evidence of coverage taken as a whole, and with consideration given to typography and format, as well as language, is such as to cause a reasonable person, not possessing special knowledge regarding HMOs and evidences of coverage for HMOs, to expect benefits, services, charges or other advantages that the evidence of coverage does not provide or that the HMO issuing the evidence of coverage does not regularly make available for enrollees covered under the evidence of coverage.     Chapter 8, part 1 of this title shall be construed to apply to HMOs and evidences of coverage, except to the extent that the commissioner determines the nature of HMOs and evidences of coverage render chapter 8, part 1 of this title inappropriate.   An HMO may not cancel or refuse to renew an enrollee, except for reasons stated in the organization's rules applicable to all enrollees, or for the failure to pay the charge for coverage, or for other reasons promulgated by the commissioner.   No HMO, unless licensed as an insurer, may refer to itself as an insurer or use a name deceptively similar to the name or description of any insurance or surety corporation doing business in this state.   Any person not in possession of a valid certificate of authority issued pursuant to this chapter may not use the phrase “health maintenance organization” or “HMO” in the course of operation.
TN Code § 56-32-114 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-114. Licensing of Agents

  The commissioner may, after notice and hearing, promulgate reasonable rules and regulations necessary to provide for the licensing of agents. “Agent” means a person who is appointed or employed by an HMO and who engages in solicitation or membership in the organization. “Agent” does not include a person enrolling members on behalf of an employer, union or other organization to whom a master subscriber contract has been issued.   The commissioner may by rule exempt certain classes of persons from the requirement of obtaining a license, if other existing licensing procedures make a separate HMO agent's license unnecessary.
TN Code § 56-32-115 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-115. Regulation by Commissioner — Examination of Books and Records

  The commissioner of commerce and insurance, in cooperation with the commissioner of health, shall coordinate the regulation of any HMO holding a certificate of authority to ensure the financial viability of the HMO and that the HMO is currently providing and shall in the future provide health care services efficiently, effectively and economically. The commissioner of commerce and insurance and the commissioner of health shall develop an interdepartmental agreement to coordinate the functions necessary for the proper administration of this section.   The commissioner of commerce and insurance may make an examination of the affairs of any HMO and any providers with whom the HMO has contracts, agreements or other arrangements as often as is reasonably necessary for the protection of the interests of the people of this state. The examinations of HMOs shall occur not less frequently than once every five (5) years. The commissioner of commerce and insurance may also contract, at reasonable fees for work performed, with qualified, impartial outside sources to perform audits or examinations, or portions of audits or examinations, pertaining to the qualification of an entity for issuance for a certificate of authority to operate as an HMO or to determine the continued compliance of any operating HMO. Any contracted assistance shall be under the direct supervision of the commissioner of commerce and insurance. The results of any contracted assistance shall be subject to the review of, and approval, disapproval, or modification by, the commissioner of commerce and insurance.   The commissioner of health or the commissioner's designee may make an examination concerning an HMO's capability to provide health care services efficiently, effectively and economically, and any providers with whom the HMO has contracts, agreements, or other arrangements as often as is reasonably necessary for the protection of the interests of the people of this state. The examinations of HMOs shall occur not less frequently than once every three (3) years. The commissioner of health shall report findings to the commissioner of commerce and insurance, who may then suspend or revoke a certificate of authority issued to the HMO as provided in § 56-32-116.   Every HMO shall submit its books and records for the examinations and in every way facilitate the completion of the examinations. For the purpose of examinations, the commissioner of commerce and insurance and the commissioner of health may administer oaths to, and examine, officers and agents of the HMO.   The expenses of examinations of HMOs under this section shall be assessed against the HMO being examined and remitted to the commissioner for whom the examination is being conducted.   In lieu of the examinations, the commissioner of commerce and insurance or the commissioner of health may accept the report of an examination made by the commissioner of insurance or the commissioner of health of another state.
TN Code § 56-32-116 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 32 - Health Maintenance Organization Act of 1986|§ 56-32-116. Revocation or Suspension of Certificates

  The commissioner may suspend or revoke any certificate of authority issued to an HMO under this chapter if the commissioner finds that any of the following conditions exist:  The HMO is operating significantly in contravention of its basic organizational document or in a manner contrary to that described in any other information submitted under § 56-32-103, unless amendments to the submissions have been filed with and approved by the commissioner;   The HMO issues evidence of coverage or uses a schedule of charges for health care services that do not comply with the requirements of § 56-32-107;   The HMO does not provide or arrange for basic health care services;   The HMO is unable to fulfill its obligations to furnish health care services;   The HMO is no longer financially responsible and may reasonably be expected to be unable to meet its obligations to enrollees or prospective enrollees;   The HMO has failed to implement the complaint system required by § 56-32-110 [repealed] in a reasonable manner to resolve complaints;   The HMO, or any person on its behalf, has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive or unfair manner;   The continued operation of the HMO would be hazardous to its enrollees;   The HMO has otherwise failed substantially to comply with this chapter; or   The HMO has filed with the department sworn financial statements that contain material omissions or errors.     A certificate of authority shall be suspended or revoked only after compliance with the requirements of § 56-32-118.   When the certificate of authority of an HMO is suspended, the HMO shall not, during the period of suspension, enroll any additional enrollees, except newborn children or other newly acquired dependents of existing enrollees, and shall not engage in any advertising or solicitation whatsoever.   When the certificate of authority of an HMO is revoked, the HMO shall proceed, immediately following the effective date of the order of revocation, to wind up its affairs, and shall conduct no further business except as may be essential to the orderly conclusion of the affairs of the HMO. It shall engage in no further advertising or solicitation whatsoever. The commissioner may, by written order, permit such further operation of the organization as the commissioner may find to be in the best interest of enrollees, to the end that enrollees will be afforded the greatest practicable opportunity to obtain continuing health care coverage.