§ 56-7-3405. Failure to Comply With Part May Constitute Unfair Claims Settlement Practice — No Private Cause of Action Created
A pattern of failures to meet the requirements of this part may constitute an unfair claims settlement practice under the Tennessee Unfair Trade Practices and Unfair Claims Settlement Act of 2009, compiled in chapter 8 of this title. Nothing in this part shall be construed to create or imply a private cause of action for […]
§ 56-7-3406. Remittance of Proceeds of Unclaimed Policy, Annuity or Retained Asset Account to State
An insurer is authorized in its discretion, but is not required, to report and remit the proceeds of an unclaimed policy, annuity, or retained asset account to the appropriate state when the insurer, through good faith efforts as evidenced by appropriate documentation, has: Identified a person as deceased through a DMF match through a search […]
§ 56-7-3203. Disclosure of the Actual Reimbursement for a Particular Prescription or Covered Service
A covered entity or pharmacy benefits manager shall not in any way restrict, by contract or otherwise, any pharmacy or other dispenser from disclosing to the patient or authorized representative of the patient the actual reimbursement for a particular prescription or covered service. A pharmacy or other dispenser may disclose the actual reimbursement either orally […]
§ 56-7-3204. Construction of Part
The requirements of this part shall only be construed to apply to policies, contracts and certificates executed, delivered, issued for delivery or renewed in this state on or after January 1, 2010.
§ 56-7-3301. Part Definitions
As used in this part, unless the context otherwise requires: “Health care provider” or “provider” means any person or entity performing services regulated pursuant to title 63 or title 68, chapter 11, with whom the health insurance entity has an express and valid network provider agreement or contract; “Health insurance entity” has the same meaning […]
§ 56-7-3302. Clear Identification of Material Changes to Provider Manual
A health insurance entity shall provide notice to a healthcare provider of any material change made in the sole discretion of the insurance entity to the entity’s previously released provider manual or a reimbursement rule and policy at least sixty (60) days prior to the effective date of the change, and the health insurance entity […]
§ 56-7-3303. Establishment and Maintenance of Internet Web Site — Web-Based Preadjudication Tool
By July 1, 2010, a health insurance entity shall establish and maintain an Internet web site, which shall be accessible to health care providers with whom the health insurance entity has an express and a valid network provider agreement or contract. Excluding inpatient claims, every health insurance entity shall make available on the Internet web […]
§ 56-7-3304. Applicability of Part
This part shall not apply to a contract between a health care provider and the state or federal government or their agencies for health care services provided through a program for medicare; the state group insurance program; TennCare or any successor program provided for in title 71, chapter 5; the CoverKids Act of 2006 provided […]
§ 56-7-3401. Short Title
This part shall be known as the “Unclaimed Life Insurance Benefits Act”.
§ 56-7-3402. Construction With Uniform Unclaimed Property Act
Nothing in this part shall supersede the Uniform Unclaimed Property Act, compiled in title 66, chapter 29, part 1.