Ins 17.28(5)(b)(b) Exemption. An insurer or self-insured provider may file a written request for an exemption from the requirement of par. (a). The commissioner may grant the exemption if he or she finds that compliance would constitute a financial or administrative hardship. An insurer or self-insured provider granted an exemption under this paragraph shall file a paper certificate in the format specified by the commissioner within 45 days after original issuance or renewal or a change of class under sub. (6). Ins 17.28(5)(c)(c) Late filing fee. A late fee in the amount of $100.00 per certificate shall be paid to the fund by each insurer and self-insured provider who fails to file a certificate of insurance in accordance with the requirements of this subsection. An additional $100.00 late fee shall be paid per certificate for each additional week, or portion thereof, the certificate is not in compliance with this subsection. Ins 17.28(6)(6) Fee schedule. The following fee schedule is in effect from July 1, 2013 to June 30, 2014: Ins 17.28(6)(a)(a) Except as provided in pars. (b) to (f) and sub. (6e), for a physician for whom this state is a principal place of practice: Class 1 $1,457 Class 3 $5,828
Class 2 $2,623 Class 4 $9,616
Ins 17.28(6)(b)(b) For a resident acting within the scope of a residency or fellowship program: Class 1 $ 729 Class 3 $2,916
Class 2 $1,312 Class 4 $4,811
Ins 17.28(6)(c)(c) For a resident practicing part-time outside the scope of a residency or fellowship program: All classes $874
Ins 17.28(6)(d)(d) For a Medical College of Wisconsin, Inc., full-time faculty member: Class 1 $583 Class 3 $2,332
Class 2 $1,049 Class 4 $3,848
Ins 17.28(6)(e)1.1. For a physician who practices fewer than 500 hours during the fiscal year, limited to office practice and nursing home and house calls, and who does not practice obstetrics or surgery or assist in surgical procedures: $ 364 Ins 17.28(6)(e)2.2. For a physician who practices 1,040 hours or less during the fiscal year, including those who practice fewer than 500 hours during the fiscal year whose practice is not limited to office practice, nursing homes or house calls or who do practice obstetrics, surgery or assist in surgical procedures: 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
