Address: 125 South Webster St – 2nd Floor, Madison WI 53703-3474
Mail: PO Box 7873, Madison, WI 53707-7873
12. Place where comments are to be submitted and deadline for submission:
Persons wishing to testify or provide oral or written comments regarding the proposed administrative rule may appear during the hearing. Additionally, the rule may be reviewed and comments made at https://docs.legis.wisconsin.gov/code or sent to the following: The deadline for submitting comments is 4:00 p.m. on November 14, 2022.
Written comments can be mailed or hand-delivered to:
Legal Unit - OCI Rule Comment for Rule Ins 9
Office of the Commissioner of Insurance
125 South Webster St – 2nd Floor
Madison WI 53703-3474
The proposed rule changes are:
SECTION 1. Ins 9.08 (1) (intro.) is amended to read:
(1) All insurers authorized to write health maintenance organization business and insurers licensed to write only limited service health organization business shall file with the commissioner by March 1 of each year an annual statement for the preceding year. A health maintenance organization insurer and limited service health organization insurer shall use the current health maintenance organization annual statement blank prepared by the national association of insurance commissioners.
SECTION 2. Ins 9.08 (1m) is created to read:
Ins 9.08 (1m) Medicare and Medicaid Health Maintenance Organizations. A health maintenance organization insurer that writes 100% of its business to Medicare or Medicaid recipients, or a combination of the two, need not include a special procedures opinion from a certified public accountant as required by sub.(1)(a) or an audit opinion concerning the statement of covered expenses as required by sub.(1)(c).
SECTION 3. Ins 9.08 (4) is repealed.
SECTION 4. Ins 9.08 (Note) is amended to read:
Note: The list of the forms form described in subs. sub. (1) and (4) may be obtained from the Office of the Commissioner of Insurance, P. O. Box 7873, Madison, WI 53707-7873
SECTION 5. EFFECTIVE DATE. The rule takes effect on the first day of the month following publication in the Wisconsin Administrative Register as provide in s. 227.22 (2) (intro.), Stats. Dated at Madison, Wisconsin, this 14th date of October, 2022
