(a) Except as otherwise specified, this chapter shall apply to all health carriers.
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Terms Used In Tennessee Code 56-61-103

  • benefits: means those healthcare services to which a covered person is entitled under the terms of a health benefit plan. See Tennessee Code 56-61-102
  • Commissioner: means the commissioner of commerce and insurance. See Tennessee Code 56-61-102
  • written: includes printing, typewriting, engraving, lithography, and any other mode of representing words and letters. See Tennessee Code 1-3-105
(b) This chapter shall not apply to a policy or certificate that provides:

(1) Coverage only for a specified disease, specified accident or accident-only coverage, credit, dental, disability income, hospital indemnity, long-term care insurance, as defined by § 56-42-103, vision care or any other limited supplemental benefit or to a medicare supplement policy of insurance as defined by the commissioner;
(2) Coverage under a plan through medicare, medicaid or the federal employees health benefits program (FEHB);
(3) Any coverage issued under 10 U.S.C. § 1072 and any coverage issued as supplement to that coverage;
(4) Any coverage issued as supplemental to liability insurance; workers’ compensation or similar insurance; automobile medical-payment insurance or any insurance under which benefits are payable without regard to fault; whether written on a group blanket or individual basis; or
(5) Any plan exempt from regulation under this title due to the Employee Retirement Income Security Act of 1974 (ERISA) ( 29 U.S.C. § 1144 ).
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