Wisconsin Administrative Code
Office of the Commissioner of Insurance
Chapter Ins 19 - Wisconsin Healthcare Stability Plan
Section Ins 19.21 - Reinsurance payment calculation
Current through August 26, 2024
The commissioner shall calculate the dollar amounts eligible for reinsurance payment under s. 601.83(4) (a), Stats., utilizing the information provided by the eligible health carriers. The commissioner shall consider all of the following information:
(1) The commissioner shall calculate the reinsurance payment by applying the payment parameters as contained in s. 601.83(4) (a), Stats., to each eligible claim. The commissioner shall provide a preliminary estimate of the reinsurance payments by or before June 30, in the calendar year following the applicable benefit year.
(2) In accordance with s. 601.83(3) (c), Stats., the aggregate reinsurance payments shall not exceed $200,000,000, or the amount available for the applicable benefit year. If the cumulative total amount of claims across all participating eligible health carriers exceeds $200,000,000, or the amount available for the given benefit year under s. 601.83(1) (h), Stats., the commissioner shall make reinsurance payments in accordance with s. 601.83(3) (c), Stats., to each eligible health carrier as follows:
