Wisconsin Administrative Code
Office of the Commissioner of Insurance
Chapter Ins 19 - Wisconsin Healthcare Stability Plan
Section Ins 19.24 - Compliance audit
Current through August 26, 2024
(1) The commissioner may, at the commissioner's sole discretion, conduct an audit in accordance with s. 601.83(5) (f), Stats., with the reasonable audit costs paid by the audited carrier pursuant to s. 601.45(1), Stats. The commissioner shall give the carrier reasonable notice and identify the scope of the audit to be conducted.
(2) Upon findings by the commissioner that an eligible health carrier provided falsified data or intentionally provided incomplete data, the commissioner may determine, at the commissioner's sole discretion, that health carrier is ineligible for reinsurance payments for subsequent benefit years. The health carrier shall be issued an order of the commissioner with administrative hearing rights as contained in s. 227.44, Stats.
