State RegulationsTN specificDifficulty 3/5
A compliance officer is mapping Tennessee requirements to a Medicare supplement product. Which mapping matches each requirement to its correct authority: (1) language the policy may never contain; (2) baseline terms the policy must meet; (3) who may be issued the coverage?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Tennessee splits Medicare supplement requirements across the rule chapter and the eligibility statute: Tenn. Comp. R. & Regs. 0780-1-58-.06 bars specified provisions; Tenn. Comp. R. & Regs. 0780-1-58-.08 and 0780-1-58-.17 set the minimum standards; and T.C.A. § 56-7-1453, implemented through rule sections 0780-1-58-.13 and -.14, governs eligibility. The Tennessee Department of Commerce & Insurance administers the whole framework.
Why the other options are wrong
- B) This mapping swaps the prohibited-provision and minimum-standards sections and cites a mandated-coverage statute for eligibility.
- C) T.C.A. § 56-42-107 is the long-term care contestability provision, and this mapping misassigns eligibility and minimum standards within the rule chapter.
- D) T.C.A. § 56-6-125(b) concerns fees for individual major medical policies when commission is not paid, and this mapping scrambles all three requirements.
Memory hook
Never-words, floor, doorway: the prohibited rule, the standards rules, the eligibility statute.