Statutes, codes, and regulations
Wisconsin Administrative Code
Agency - Office of the Commissioner of InsuranceChapter Ins 9 - Defined Network Plans
Subchapter III - Market Conduct Standards for Defined Network Plans, Preferred Provider Plans and Limited Service Health Organizations
Section Ins 9.26 - Preferred provider plan subject to defined network plan regulations

Wis. Admin. Code Office of the Commissioner of Insurance Ins 9.26

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Current through October 28, 2024
Section Ins 9.26 - Preferred provider plan subject to defined network plan regulations

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

CR 05-059: cr. Register February 2006 No. 602, eff. 3-1-06.
Amended by, correction under s. 13.92(4) (b) 7.Register December 2017 No. 744, eff. 1/1/2018.