# Tenn. Code Ann. § 56-61-103: Applicability and scope

> Tennessee · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-103

## Section

- **Citation:** Tenn. Code Ann. § 56-61-103
- **Heading:** Applicability and scope
- **Jurisdiction:** Tennessee
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TN Code / Title 56 / Chapter 61 / Section 56-61-103

## Text

(a) Except as otherwise specified, this chapter shall apply to all health carriers. (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 ). Acts 2010, ch. 980, § 4.
(a) Except as otherwise specified, this chapter shall apply to all health carriers.
(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 ).
(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 ).
Acts 2010, ch. 980, § 4.

## Nearby sections

- [Tenn. Code Ann. § 56-61-101 Short title - Purpose](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-101.md)
- [Tenn. Code Ann. § 56-61-102 Chapter definitions](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-102.md)
- [Tenn. Code Ann. § 56-61-103 Applicability and scope](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-103.md)
- [Tenn. Code Ann. § 56-61-104 No limitations or restrictions on denying coverage of services not medically necessary](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-104.md)
- [Tenn. Code Ann. § 56-61-105 Maintenance of register of written records to document grievances](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-105.md)
- [Tenn. Code Ann. § 56-61-106 Written procedures for grievances](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-106.md)
- [Tenn. Code Ann. § 56-61-107 First level review of adverse determination](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-107.md)
- [Tenn. Code Ann. § 56-61-108 Second level review of adverse determination](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-108.md)
- [Tenn. Code Ann. § 56-61-109 Establishment of written procedures for expedited review of urgent care requests of grievances involving adverse determination](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-109.md)
- [Tenn. Code Ann. § 56-61-110 Rules and regulations](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-110.md)
- [Tenn. Code Ann. § 56-61-111 Penalties for violations](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-111.md)
- [Tenn. Code Ann. § 56-61-112 Elections for conducting external review program](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-112.md)
- [Tenn. Code Ann. § 56-61-113 Notice of right to external review](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-113.md)
- [Tenn. Code Ann. § 56-61-114 Request for external review](https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-114.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TN_T56_C61_S56-61-103. Check the current official text before relying on it. Not legal advice.