56-30-102 - Chapter definitions. - Tennessee Statutes

56-30-102. Chapter definitions.

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

     (1)  “Beneficiary” means a person designated in the subscription certificate referred to in subdivision (10), as entitled to the dental services referred to in subdivision (10);

     (2)  “Commissioner” means the commissioner of commerce and insurance;

     (3)  “Covered dependent” is the spouse, an adult dependent or child of a subscriber who is named in the subscription certificate issued to the subscriber, and with respect to whom appropriate premium is specified in the certificate;

     (4)  “Dental service” means professional services rendered by persons duly licensed under the laws of this state to practice dentistry and all services defined as constituting the practice of dentistry as set out in title 63, chapter 5;

     (5)  “Nonprofit dental service corporation” means any corporation organized pursuant to this chapter for the purpose of establishing, maintaining and operating a nonprofit dental service plan, and that employs the service benefit concept in the majority of the programs it administers;

     (6)  “Nonprofit dental service plan” means a plan whereby specified dental service is provided by a nonprofit dental service corporation to subscribers to the plan;

     (7)  “Participating dentist” means a dentist licensed to practice dentistry in this state under title 63, chapter 5, who contracts in writing with a dental service plan corporation to perform the dental services specified in the subscription certificates issued by the corporation, and at the rates of compensation determined by the board of directors of the corporation, and who agrees to abide by the bylaws, rules and regulations of the corporation applicable to participating dentists;

     (8)  “Person” includes a natural person, a corporation, an association, a common law trust or corporation;

     (9)  “Service benefit concept” means a type of dental benefit contract between a beneficiary and a third party payer, whereby the beneficiary is guaranteed no out-of-pocket expenses for covered services beyond any agreed on cost sharing stipulated in the contract; and

     (10)  “Subscriber” means a person to whom a subscription certificate is issued by a dental care service plan corporation that sets forth the beneficiaries and the kind and extent of dental service for which the corporation is liable to make payment.

[Acts 1961, ch. 340, § 2; impl. am. Acts 1971, ch. 137, § 2; T.C.A., § 56-3502; Acts 1989, ch. 152, § 1.]