Class 1 $ 874 Class 3 $3,496
Class 2 $1,573 Class 4 $5,768
Ins 17.28(6)(f)
(f) For a physician for whom this state is not a principal place of practice:
Class 1 $ 729 Class 3 $2,916
Class 2 $1,312 Class 4 $4,811
Ins 17.28(6)(g)
(g) For a nurse anesthetist for whom this state is a principal place of practice:
$
358
Ins 17.28(6)(h)
(h) For a nurse anesthetist for whom this state is not a principal place of practice:
$
179
Ins 17.28(6)(i)2.
2. Per 100 outpatient visits during the last calendar year for which totals are available:
$ 4.35
Ins 17.28(6)(j)
(j) For a nursing home, as described under s.
655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated:
Per occupied bed $ 17
Ins 17.28(6)(k)
(k) For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
Ins 17.28(6)(k)1.a.a. If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10
$ 51
Ins 17.28(6)(k)1.b.
b. If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100
$ 503
Ins 17.28(6)(k)1.c.
c. If the total number of partners and employed physicians and nurse anesthetists exceeds 100
$1,252
Ins 17.28(6)(k)2.
2. The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners $ 364
Advanced Nurse Practitioners 510
Nurse Midwives 3,205
Advanced Nurse Midwives 3,351
Advanced Practice Nurse Prescribers 510
Chiropractors 583
Dentists 291
Oral Surgeons 2,186
Podiatrists-Surgical 6,192
Optometrists 291
Physician Assistants 291
Ins 17.28(6)(L)
(L) For a corporation, including a service corporation, with more than one shareholder organized under ch.
180, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
Ins 17.28(6)(L)1.a.a. If the total number of shareholders and employed physicians and nurse anesthetists is from 2 to 10
$ 51
Ins 17.28(6)(L)1.b.
b. If the total number of shareholders and employed physicians and nurse anesthetists is from 11 to 100
$ 503
Ins 17.28(6)(L)1.c.
c. If the total number of shareholders and employed physicians or nurse anesthetists exceeds 100
$1,252
Ins 17.28(6)(L)2.
2. The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners $ 364
Advanced Nurse Practitioners 510
Nurse Midwives 3,205
Advanced Nurse Midwives 3,351
Advanced Practice Nurse Prescribers 510
Chiropractors 583
Dentists 291
Oral Surgeons 2,186
Podiatrists-Surgical 6,192
Optometrists 291
Physician Assistants 291
Ins 17.28(6)(m)
(m) For a corporation organized under ch.
181, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
Ins 17.28(6)(m)1.a.a. If the total number of employed physicians and nurse anesthetists is from 1 to 10
$ 51
Ins 17.28(6)(m)1.b.
b. If the total number of employed physicians and nurse anesthetists is from 11 to 100
$ 503
Ins 17.28(6)(m)1.c.
c. If the total number of employed physicians or nurse anesthetists exceeds 100
$1,252
Ins 17.28(6)(m)2.
2. The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners $ 364
Advanced Nurse Practitioners 510
Nurse Midwives 3,205
Advanced Nurse Midwives 3,351
Advanced Practice Nurse Prescribers 510
Chiropractors 583
Dentists 291
Oral Surgeons 2,186
Podiatrists-Surgical 6,192
Optometrists 291
Physician Assistants 291
Ins 17.28(6)(n)1.
1. Per 100 outpatient visits during the last calendar year for which totals are available
$0.11
Ins 17.28(6)(n)2.
2. 2.5% of the total annual fees assessed against all of the employed physicians.
Ins 17.28(6)(n)3.
3. The following fee for each full-time equivalent allied health care professional employed by the operational cooperative sickness plan as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners $ 364
Advanced Nurse Practitioners 510
Nurse Midwives 3,205
Advanced Nurse Midwives 3,351
Advanced Practice Nurse Prescribers 510
Chiropractors 583
Dentists 291
Oral Surgeons 2,186
Podiatrists-Surgical 6,192
Optometrists 291
Physician Assistants 291
Ins 17.28(6)(o)
(o) For a freestanding ambulatory surgery center, as defined in s.
DHS 120.03 (13), per 100 outpatient visits during the last calendar year for which totals are available:
$ 22.73
Ins 17.28(6)(p)
(p) For an entity affiliated with a hospital, the greater of $100 or whichever of the following applies:
Ins 17.28(6)(p)1.
1. 7.0% of the amount the entity pays as premium for its primary health care liability insurance, if it has occurrence coverage.
Ins 17.28(6)(p)2.
2. 10.0% of the amount the entity pays as premium for its primary health care liability insurance, if it has claims-made coverage.
Ins 17.28(6)(q)
(q) For an organization or enterprise not specified as a partnership or corporation that is organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
Ins 17.28(6)(q)1.a.a. If the total number of employed physicians and nurse anesthetists is from 1 to 10
$ 51
