As used in this part, unless the context otherwise requires:

(1) “Applicant” means:

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Terms Used In Tennessee Code 56-7-1501

  • Certificate: means , any certificate delivered or issued for delivery in this state under a group medicare supplement policy. See Tennessee Code 56-7-1501
  • Contract: A legal written agreement that becomes binding when signed.
  • Issuer: includes insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entity delivering or issuing for delivery in this state medicare supplement policies or certificates. See Tennessee Code 56-7-1501
  • Medicare: means the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965. See Tennessee Code 56-7-1501
  • Medicare supplement policy: means a group or individual policy of accident and sickness insurance or a subscriber contract of hospital and medical service associations or health maintenance organizations other than a policy issued pursuant to a contract under §. See Tennessee Code 56-7-1501
  • Person: means any association, aggregate of individuals, business, company, corporation, individual, joint-stock company, Lloyds-type organization, organization, partnership, receiver, reciprocal or interinsurance exchange, trustee or society. See Tennessee Code 56-16-102
  • State: when applied to the different parts of the United States, includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
  • Subscriber: means a person obligated under a reciprocal insurance agreement. See Tennessee Code 56-16-102
(A) In the case of an individual medicare supplement policy, the person who seeks to contract for insurance benefits; and
(B) In the case of a group medicare supplement policy, the proposed certificate holder;
(2) “Certificate” means, any certificate delivered or issued for delivery in this state under a group medicare supplement policy;
(3) “Certificate form” means the form on which the certificate is delivered or issued for delivery by the issuer;
(4) “Issuer” includes insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entity delivering or issuing for delivery in this state medicare supplement policies or certificates;
(5) “Medicare” means the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965;
(6) “Medicare supplement policy” means a group or individual policy of accident and sickness insurance or a subscriber contract of hospital and medical service associations or health maintenance organizations other than a policy issued pursuant to a contract under § 1876 [repealed] of the Social Security Act ( 42 U.S.C. § 1395 et seq.), or an issued policy under a demonstration project specified in 42 U.S.C. § 1395ss(g)(1) that is advertised, marketed or designed primarily as a supplement to reimbursements under medicare for the hospital, medical or surgical expenses of persons eligible for medicare; and
(7) “Policy form” means the form on which the policy is delivered or issued for delivery by the issuer.
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