Resolution of Disputes Regarding Eligibility and Enrollment for Plans and Benefit Structure — Appeals Regarding Voluntary Benefits

1. Law
2. Tennessee Code
3. Public Officers and Employees
4. Group Insurance for Public Officers and Employees
5. Administration of Insurance Committees
6. Resolution of Disputes Regarding Eligibility and Enrollment for Plans and Benefit Structure — Appeals Regarding Voluntary Benefits

1. The committees may delegate to a subcommittee or to the division of benefits administration the ability to resolve disputes regarding eligibility and enrollment for the plans and the benefit structure of the plans administered by those committees. Appellants shall be allowed to review the files regarding their appeals and to submit a written statement in support of the appeal. The disclosure of records related to appeals is subject to the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) (42 U.S.C. § 1320d et seq.) and other federal and state confidentiality laws.
2. Appeals regarding voluntary benefits as defined in § 8-27-104 are the responsibility of the contractors providing those benefits.

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