Section 0780-01-44-.02 - DEFINITIONSAs used in this rule, unless the context otherwise requires, the term:
(1) "Administrator" means any person, company, corporation, partnership, association or legal entity who collects charges or premiums from, or who adjusts or settles claims on, residents of this state in connection with health insurance coverage.(2) "Charge Data" means information and figures concerning the dollar amount billed by hospitals to patients on account of care, services, goods, accommodations, facilities and equipment furnished by or in a hospital; provided, however, that charge data shall only include categorical information and figures and shall not include information and figures concerning individual patients.(3) "Commissioner" means the Commissioner of the Department of Insurance.(4) "Hospital" means any institution, place, building or agency as defined by Tennessee Code Annotated, Section 53-1301, and subject to the provisions of Tennessee Code Annotated, Chapter 13, Title 53.(5) "Insurer" means any person authorized to transact the business of insurance under the provisions of Tennessee Code Annotated, Title 56.(6) "Major Purchasers" means persons who have health insurance coverage and who consists of one hundred employees or more under a group plan of insurance; or any experience rated group regardless of size.Tenn. Comp. R. & Regs. 0780-01-44-.02
Original rule filed August 5, 1980; effective January 1, 1981.Authority: Chapter 876, Public Acts of 1980.