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2019 Tennessee Code
Title 56 - Insurance
Chapter 53 - Insurance Fraud
§ 56-53-103. Unlawful insurance act -- Civil violations.

Universal Citation: TN Code § 56-53-103 (2019)
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  • (a) Any person who commits, participates in, or aids, abets, or conspires to commit, or solicits another person to commit, or permits its employees or its agents to commit any of the following acts with an intent to induce reliance, has committed an unlawful insurance act:

    • (1) Presents, causes to be presented, or prepares with knowledge or belief that it will be presented, by or on behalf of an insured, claimant or applicant to an insurer, insurance professional or a premium finance company in connection with an insurance transaction or premium finance transaction, any information that the person knows to contain false representations, or representations the falsity of which the person has recklessly disregarded, as to any material fact, or that withholds or conceals a material fact, concerning any of the following:

      • (A) The application for, rating of, or renewal of, any insurance policy;

      • (B) A claim for payment or benefit pursuant to any insurance policy;

      • (C) Payments made in accordance with the terms of any insurance policy; or

      • (D) The application for the financing of any insurance premium;

    • (2) Presents, causes to be presented, or prepares with knowledge or belief that it will be presented, to or by an insurer, insurance professional or a premium finance company in connection with an insurance transaction or premium finance transaction, any information that the person knows to contain false representations, or representations the falsity of which the person has recklessly disregarded, as to any material fact, or that withholds or conceals a material fact, concerning any of the following:

      • (A) The solicitation for sale of any insurance policy or purported insurance policy;

      • (B) An application for certificate of authority;

      • (C) The financial condition of any insurer; or

      • (D) The acquisition, formation, merger, affiliation or dissolution of any insurer; or

    • (3) Solicits or accepts new or renewal insurance risks by or for an insurer that the person knows was insolvent or the insolvency of which the person recklessly disregards.

  • (b) It shall be unlawful for any person to commit, or to attempt to commit, or aid, assist, abet or solicit another to commit, or to conspire to commit an unlawful insurance act.

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