Tennessee Code Annotated

Title 56: Insurance

Chapter 7: Policies and Policyholders

Part 23: Mandated Insurer or Plan Coverage

TCA 56-7-2317: Preexisting conditions -- Converted policy benefits in first policy year limited by group policy benefits.

The converted policy shall not exclude a preexisting condition not excluded by the group policy. However, the converted policy may provide that any hospital, surgical or medical benefits payable under the policy may be reduced by the amount of the benefits payable under the group policy after the termination of the individual's insurance under the group policy. The converted policy may also include provisions so that during the first policy year the benefits payable under the converted policy, together with the benefits payable under the group policy, shall not exceed those that would have been payable had the individual's insurance under the group policy remained in force and effect.

History: [Acts 1980, ch. 537, § 1; 1992, ch. 984, § 1; T.C.A., § 56-7-1506.]