Tennessee Code Annotated
Tenn. Code Ann. § 8-27-102 (2024)
Resolution of disputes regarding eligibility and enrollment for plans and benefit structure - Appeals regarding voluntary benefits
✓ Justia copy: laws through about 2024 (2025 and 2026 sessions missing)
- (a) 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.
- (b) Appeals regarding voluntary benefits as defined in § 8-27-104 are the responsibility of the contractors providing those benefits.
Amended by 2015 Tenn. Acts, ch. 426, s 1, eff. 5/18/2015.
Acts 1976, ch. 804, § 6; T.C.A., § 8-4506; Acts 1990, ch. 776, § 3; 1991, ch. 128, § 1; 1997 , ch. 513, § 1; 1999, ch. 116, § 1; 2004, ch. 824, § 1; 2009 , ch. 502, § 1.
Notes of Decisions
Cited in 2
cases, 2019–2020 · leading case: Durham v. Martin, 388 F. Supp. 3d 919 (M.D. Tenn. 2019).
Durham v. Martin, 388 F. Supp. 3d 919 (M.D. Tenn. 2019). “The defendants argue that Tenn. Code Ann. § 8-27-102 authorizes an informal appeal process for resolving disputes over health insurance plan eligibility and that the Uniform Administrative Procedures Act ("APA") authorizes an "affected person" to petition an agency for a…”
Durham v. Eley, 507 F. Supp. 3d 956 (M.D. Tenn. 2020). “First, he could have pursued an appeal of that decision under Tenn. Code Ann. § 8-27-102 . A decision rendered in such an appeal would then have been reviewable under the procedures outlined in the Tennessee Uniform Administrative Procedures Act (“APA”), Tenn.”
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