Terms Used In Tennessee Code > Title 56 > Chapter 7 > Part 29 - Access Tennessee Act of 2006

• Access Tennessee: means the nonprofit entity created pursuant to §. See Tennessee Code 56-7-2902
• Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
• Attorney: means the person designated and authorized by subscribers as the attorney-in-fact having authority to obligate them on reciprocal insurance contracts. See Tennessee Code 56-16-102
• Board: means the Access Tennessee board of directors established pursuant to §. See Tennessee Code 56-7-2902
• Church plan: has the meaning given the term under ERISA, in 29 U. See Tennessee Code 56-7-2902
• COBRA continuation coverage: refers to continuation of coverage offered pursuant to the Consolidated Omnibus Budget Reconciliation Act of 1985 (42 U. See Tennessee Code 56-7-2902
• Commissioner: means the commissioner of finance and administration. See Tennessee Code 56-7-2902
• Contract: A legal written agreement that becomes binding when signed.
• Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
• Creditable coverage: means , with respect to an individual, coverage of the individual that provides the minimum essential coverage required under 26 U. See Tennessee Code 56-7-2902
• Department: means the department of finance and administration. See Tennessee Code 56-7-2902
• Dependent: A person dependent for support upon another.
• ERISA: means the Employee Retirement Income Security Act of 1974 (29 U. See Tennessee Code 56-7-2902
• Federally defined eligible individual: means an individual:
  (A) For whom, as of the date on which the individual seeks coverage under this part, the aggregate of the periods of creditable coverage is eighteen (18) or more months. See Tennessee Code 56-7-2902
• Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
• Fraud: Intentional deception resulting in injury to another.
• Fund: means the Access Tennessee health insurance program fund established by §. See Tennessee Code 56-7-2902
• Governmental plan: has the meaning under ERISA, in 29 U. See Tennessee Code 56-7-2902
• Group health plan: means an employee welfare benefit plan as defined in ERISA, in 29 U. See Tennessee Code 56-7-2902
• Health insurance coverage: means any hospital and medical expense incurred policy, nonprofit health care service plan contract, health maintenance organization subscriber contract, or any other health care plan or arrangement that pays for or furnishes medical or health care services, whether by insurance or otherwise. See Tennessee Code 56-7-2902
• Health maintenance organization: means an organization as defined in §. See Tennessee Code 56-7-2902
• Hospital: means a licensed public or private institution as defined in §. See Tennessee Code 56-7-2902
• Insurance arrangement: means , to the extent permitted by ERISA, any plan, program, contract or other arrangement under which one (1) or more employers, unions or other organizations provide to their employees or members, either directly or indirectly through a trust or third party administration, health care services or benefits other than through an insurer, and shall include any plan described in §. See Tennessee Code 56-7-2902
• Insurer: means any entity that provides health insurance coverage in this state. See Tennessee Code 56-7-2902
• Medicaid: means the federal- and state-financed, state-run program of medical assistance established pursuant to Title XIX of the Social Security Act (42 U. See Tennessee Code 56-7-2902
• Medical care: means :
  (A) The diagnosis, care, mitigation, treatment, or prevention of disease. See Tennessee Code 56-7-2902
• Medicare: means coverage under Parts A and/or B of Title XVIII of the Social Security Act (42 U. See Tennessee Code 56-7-2902
• 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
• Plan of operation: means the articles, bylaws, and operating rules and procedures adopted by the board pursuant to §. See Tennessee Code 56-7-2902
• Program: means the Access Tennessee health insurance program, created in §. See Tennessee Code 56-7-2902
• Reporter: Makes a record of court proceedings and prepares a transcript, and also publishes the court's opinions or decisions (in the courts of appeals).
• Representative: when applied to those who represent a decedent, includes executors and administrators, unless the context implies heirs and distributees. See Tennessee Code 1-3-105
• Resident: means an individual who is legally domiciled in Tennessee. See Tennessee Code 56-7-2902
• Significant break in coverage: means a period of sixty-three (63) consecutive days during all of which the individual does not have any creditable coverage, except that neither a waiting period nor an affiliation period is taken into account in determining a significant break in coverage. See Tennessee Code 56-7-2902
• 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
• Statute: A law passed by a legislature.
• Subscriber: means a person obligated under a reciprocal insurance agreement. See Tennessee Code 56-16-102
• Third party administrator: means any entity that, on behalf of an insurer or insurance arrangement, provides health insurance coverage to individuals in this state, receives or collects charges, contributions or premiums for, or adjudicates, processes or settles claims in connection with, any type of health benefit provided in or as an alternative to health insurance coverage. See Tennessee Code 56-7-2902
• United States: includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
• written: includes printing, typewriting, engraving, lithography, and any other mode of representing words and letters. See Tennessee Code 1-3-105
• Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105