Definitions

1. Law
2. Tennessee Code
3. Insurance
4. Policies and Policyholders
5. Medicare Supplement Policies
6. Definitions

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

1. “Applicant” means:
   1. In the case of an individual medicare supplement policy, the person who seeks to contract for insurance benefits; and
   2. 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associations or health maintenance organizations other than a policy issued pursuant to a contract under § 1876 [repealed] of the Social Security Act (42 U.S.C. § 1395 et seq.), or an issued policy under a demonstration project specified in 42 U.S.C. § 1395ss(g)(1) that is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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