Tennessee 2025-2026 Regular Session

Tennessee House Bill HB0329 Compare Versions

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2-SENATE BILL 286
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54 HOUSE BILL 329
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98 HB0329
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1312 AN ACT to amend Tennessee Code Annotated, Title 56,
1413 Chapter 26, relative to multiple employer welfare
1514 arrangements.
1615
1716 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
1817 SECTION 1. Tennessee Code Annotated, Section 56-26-204(a), is amended by adding
1918 the following as a new subdivision:
2019 (5)
2120 (A) As used in this subdivision (a)(5):
2221 (i) "Bank":
2322 (a) Means an entity chartered pursuant to the laws of this
2423 state, the laws of a contiguous state, or the laws of the United
2524 States, or in the process of organizing to seek a charter, and
2625 authorized, or to be authorized, to conduct business as a savings
2726 and loan, savings bank, trust company, commercial bank, or other
2827 institution, and which is a member or affiliate member of a trade or
2928 professional organization organized to provide advocacy,
3029 leadership, and support for these entities; provided, that the
3130 entity's participation is authorized under Internal Revenue Code §
3231 501(c)(9) (26 U.S.C. § 501(c)(9)); and
3332 (b) Includes the entity's parent, affiliate, or subsidiary,
3433 which is under common control within the meaning of Internal
3534 Revenue Code § 414 (26 U.S.C. § 414);
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4039 (ii) "Commissioner" means the commissioner of commerce and
4140 insurance;
4241 (iii) "Multiple employer welfare arrangement" has the same
4342 meaning as defined in 29 U.S.C. § 1002(40); and
4443 (iv) "Plan-sponsoring organization" means an association that:
4544 (a) Sponsors a multiple employer welfare arrangement
4645 comprised only of banks;
4746 (b) Has been actively in existence for at least five (5)
4847 years;
4948 (c) Has at least one (1) substantial business purpose
5049 unrelated to offering and providing health insurance coverage or
5150 other employee benefits to its employer members and their
5251 employees; provided, that offering and providing such coverage or
5352 benefits may serve as the association's primary purpose;
5453 (d) Does not condition membership in the association on
5554 any health status-related factor relating to an individual, including
5655 an employee of an employer or a dependent of an employee;
5756 (e) Makes health insurance coverage offered through the
5857 association available to all members regardless of any health
5958 status-related factor relating to the members or individuals eligible
6059 for coverage through a member; and
6160 (f) Does not make health insurance coverage offered
6261 through the association available other than in connection with a
6362 member of the association.
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6867 (B) A foreign multiple employer welfare arrangement is deemed a
6968 domestic multiple employer welfare arrangement if the foreign multiple employer
7069 welfare arrangement:
7170 (i) Is comprised only of banks together with their plan-sponsoring
7271 organization, and their respective employees;
7372 (ii) Is duly licensed as a multiple employer welfare arrangement
7473 by the regulatory agency having jurisdiction over the regulation of
7574 insurance in a state physically contiguous to this state;
7675 (iii) Has no more than two thousand five hundred (2,500)
7776 residents of this state who are employees of its member banks enrolled in
7877 or receiving health, sickness, and accident benefits as insureds,
7978 members, enrollees, or subscribers of the multiple employer welfare
8079 arrangement;
8180 (iv) Is subject to adequate regulatory oversight by the contiguous
8281 domiciliary state, including, but not limited to, solvency examination
8382 authority and actuarially sound reserve-adequacy requirements, as
8483 determined in the commissioner's sole discretion; and
8584 (v) Applies for and receives a certificate of authority from the
8685 commissioner to operate as a foreign multiple employer welfare
8786 arrangement.
8887 (C) The commissioner may, in the commissioner's sole discretion, waive
8988 any portion of this chapter, and any portion of chapter 7 of this title, for a
9089 qualifying multiple employer welfare arrangement upon a determination that the
9190 multiple employer welfare arrangement is subject to reasonable and adequate
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9695 oversight by the regulatory agency having jurisdiction over the regulation of
9796 insurance in the multiple employer welfare arrangement's domicile.
9897 SECTION 2. Tennessee Code Annotated, Section 56-26-204, is amended by deleting
9998 subsections (b) and (c) and substituting:
10099 (b) The commissioner may promulgate rules in accordance with the Uniform
101100 Administrative Procedures Act, compiled in title 4, chapter 5, as deemed necessary to
102101 provide for the solvency, administration, examination, and enforcement of the pooling
103102 agreements. However, the rules must not prohibit or deter any association lawfully
104103 formed under the laws of this state or another state from offering health insurance
105104 coverage to its members within this state, including through a multiple employer welfare
106105 arrangement, if the health insurance coverage complies with federal law. To the extent
107106 deemed necessary by the commissioner, each employer member of the approved group
108107 must be classified as a self-insurer as otherwise provided in this chapter.
109108 (c) A pool created or deemed domestic under this section is subject to taxation
110109 under chapter 4 of this title, filing and approval under this chapter, and laws for
111110 protection of policyholders under chapter 7 of this title.
112111 SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it.