Wis. Admin. Code Office of the Commissioner of Insurance Ins 9.26
Current through May 28, 2024
An insurer offering a preferred provider plan that does not cover the same services when performed by a nonparticipating provider that it covers when those services are performed by a participating provider is subject to the requirements of a defined network plan that is not a preferred provider plan including ss. Ins 9.31, 9.32(1), 9.35(1), 9.37(4), 9.40(2) and (4), and 18.03(2) (c) 1., and ss. 609.22(2), (3), (4) and (7), 609.32(1) and 609.34(1), Stats.
Wis. Admin. Code Office of the Commissioner of Insurance Ins 9.26