Wisconsin Administrative Code
Office of the Commissioner of Insurance
Chapter Ins 9 - Defined Network Plans
Subchapter III - Market Conduct Standards for Defined Network Plans, Preferred Provider Plans and Limited Service Health Organizations
- Section Ins 9.20 - Scope
- Section Ins 9.21 - Limited exemptions
- Section Ins 9.25 - Preferred provider plan same service provisions
- Section Ins 9.26 - Preferred provider plan subject to defined network plan regulations
- Section Ins 9.27 - Preferred provider plan requirements
- Section Ins 9.30 - Group and blanket health insurers compliance
- Section Ins 9.31 - Annual certification of access standards
- Section Ins 9.32 - Defined network plan requirements
- Section Ins 9.33 - Enrollee election of nonparticipating provider reimbursement
- Section Ins 9.35 - Continuity of care
- Section Ins 9.36 - Gag clauses
- Section Ins 9.37 - Notice requirements
- Section Ins 9.38 - Policy and certificate language requirements
- Section Ins 9.39 - Disenrollment
- Section Ins 9.40 - Required quality assurance and remedial action plans
- Section Ins 9.41 - Right of the commissioner to request OCI complaints be handled as grievances
- Section Ins 9.42 - Compliance program requirements
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