Section 0800-02-27-.02 - DEFINITIONSThe terms contained within these rules that are not specifically defined within these rules shall have the same definitions as those established by the Workers' Compensation Law and the case law interpreting it. When any terms that are used in these rules differ from the definition established by the Workers' Compensation Law, the definition established by the Workers' Compensation Law shall govern.
(1) "Adjusting entity" means a trade or professional association, managing general agency, pool, third party administrator and/or insurance company licensed to write workers' compensation insurance in Tennessee and shall also mean a self-insured employer or group self-insured employers possessing a valid certificate of authority from the commissioner of commerce and insurance pursuant to T.C.A. § 50-6-405.(2) "Adjuster", "claims adjuster", "med-only adjuster", or "claims handler" means a representative of an adjusting entity who investigates workers' compensation claims for the purposes of making compensability determinations, files or causes claims forms to be filed with the Bureau, commences benefits, and/or makes settlement recommendations based on the insured's liability on behalf of a self-insured employer, trade or professional association, third party administrator, and/or insurance company.(3) "Administrator" means the same as the definition of "Administrator" in T.C.A. § 50-6-102.(4) "Bureau" means the Tennessee Bureau of Workers' Compensation as defined in T.C.A. § 50-6-102, an autonomous unit attached to the Department of Labor and Workforce Development for administrative matters only, pursuant to T.C.A. § 4-3-1409.(5) "Certified adjuster" means an adjuster who has successfully completed the certification requirements for adjusters as determined by the Bureau.(6) "Course" means any program of instruction, approved by the Bureau, given to satisfy the certification requirements of this program.(7) "Curriculum" means a course of study, approved by the Bureau, which satisfies the certification requirements of this program.(8) "Training" means a course of instruction, approved by the Bureau, provided by a training entity that includes the topics specified by the Bureau to meet the initial training requirements of this program.(9) "Training Entity" means any person or organization recognized as such by the Bureau for the purpose of providing the adjuster training required by the Bureau.(10) "Workers' Compensation Law" means the applicable Tennessee Workers' Compensation Law in effect, pursuant to T.C.A. § 50-6-101 et seq.Tenn. Comp. R. & Regs. 0800-02-27-.02
Original rule filed March 2, 2018; effective 5/31/2018.Authority: T.C.A. §§ 50-6-102, 50-6-233, 50-6-415, and 50-6-419.