Section 45-7-122 - Authorized delegate reporting

(a) Each licensee shall submit a report of authorized delegates within forty-five (45) days after the end of the calendar quarter.(b) The authorized delegate report must include, at a minimum, each authorized delegate's: (1) Company legal name;(2) Taxpayer employer identification number;(3) Principal provider identifier;(4) Physical address;(5) Mailing address;(6) Business conducted in other states;(7) Any fictitious or trade name;(8) Contact person name, phone number, and email;(9) Start date as licensee's authorized delegate;(10) End date acting as licensee's authorized delegate, if applicable; and(11) Any other information the commissioner reasonably requires with respect to the authorized delegate.Amended by 2023 Tenn. Acts, ch. 115, s 1, eff. 1/1/2024.Acts 1994, ch. 715, § 1; T.C.A., § 45-7-222.