Tenn. Comp. R. & Regs. 0780-01-79-.05

Current through June 26, 2024
Section 0780-01-79-.05 - SUBMISSION SCHEDULE
(1) Health insurance issuers shall report historical health care claims data according to the following schedule:

Time SpanSubmission Due Date
January 1-31, 2009June 1,2010
February 1 - June 30, 2009July 1, 2010
July 1, 2009 - September 30, 2010November 1, 2010

(2) Once each health insurance issuer has completed submitting historical health care claims data, it shall submit health care claims data monthly. Submissions are due on the first day of the month for health care claims data covering the time span of the month preceding the prior month, or according to the following schedule:

Time SpanSubmission Due Date
OctoberDecember 1
NovemberJanuary 1
DecemberFebruary 1
JanuaryMarch 1
FebruaryApril 1
MarchMay 1
AprilJune 1
MayJuly 1
JuneAugust 1
JulySeptember 1
AugustOctober 1
SeptemberNovember 1

(3) The commissioner, in the commissioner's discretion, may allow some health insurance issuers to submit data on a quarterly basis.
(4) Group health plans shall be exempt from the data reporting requirements of T.C.A. § 56-2125 and this rule to the extent that they do not use heath insurance issuers to administer health benefits. However, such group health plans may submit data in accordance with this rule.

Tenn. Comp. R. & Regs. 0780-01-79-.05

Emergency rule filed March 11, 2010; effective through September 7, 2010. Original rule filed June 10, 2010; effective September 8, 2010.

Authority: 2009 Public Acts, Chapter 611, T.C.A. §§ 56-2-125 and 56-2-301.