Chapter Ins 5

Chapter Ins 5

ADMINISTRATIVE ACTIONS; RULES OF PROCEDURE FOR CONTESTED CASES

Subchapter I — Scope; Definitions

Ins 5.01   Purpose; applicability.

Ins 5.03   Definitions.

Subchapter II — Declaratory Ruling

Ins 5.05   Petition for declaratory ruling.

Ins 5.06   Response to petition.

Subchapter III — Investigations; Orders Issued by Office; Form Filing Disapprovals

Ins 5.07   Complaint; investigation.

Ins 5.08   Orders.

Subchapter IV — Adverse Decision of Office, Board, Plan, Fund or Council; Right to Hearing; Petition

Ins 5.09   Right to hearing before commissioner.

Ins 5.10   Right to hearing before PCF board.

Ins 5.11   Petition; response; effect.

Subchapter V — Notice of Hearing Pleadings; Form and Filing of Documents

Ins 5.12   Notice of hearing.

Ins 5.13   Answer.

Ins 5.15   Amendment of pleadings.

Ins 5.17   Papers; identification; form; filing; service.

Subchapter VI — Administrative Law Judge Authority; Sanctions

Ins 5.19   Administrative law judges.

Ins 5.21   Failure to appear, answer or comply with administrative law judge’s order.

Subchapter VII — Motions; Subpoenas; Record; Miscellaneous Provisions

Ins 5.23   Appearances.

Ins 5.25   Motions.

Ins 5.27   Subpoenas.

Ins 5.29   Record of oral proceedings; transcripts.

Ins 5.31   Proceedings open to public; exceptions.

Subchapter VIII — Prehearings; Hearing Procedure

Ins 5.33   Prehearing conference.

Ins 5.35   Discovery.

Ins 5.37   Stipulations; settlement.

Ins 5.39   Hearing.

Ins 5.40   Costs to prevailing party.

Ins 5.41   Arguments; briefing.

Subchapter IX — Decisions

Ins 5.43   Proposed decision.

Ins 5.45   Final decision.

Ch. Ins 5 Note Note: Chapter Ins 5 as it existed on March 31, 1996 was repealed and a new chapter Ins 5 was created effective April 1, 1996.

subch. I of ch. Ins 5 Subchapter I — Scope; Definitions

Ins 5.01 Ins 5.01 Purpose; applicability.

Ins 5.01(1) (1) This chapter interprets subch. III of ch. 227, Stats., and ss. 102.31 (4), 153.78, 601.44 (6), and 601.62, Stats., and applies to administrative actions under the jurisdiction of the commissioner, and the PCF board.

Ins 5.01(2) (2) This chapter does not apply to rule-making hearings under subch. II of ch. 227, Stats.

Ins 5.01(3) (3) This chapter does not require a contested case proceeding before the issuance of a declaratory order under s. 601.41 (4) (b), Stats.

Ins 5.01 History History: Cr. Register, March, 1996, No. 483, eff. 4-1-96; correction in (1) made under s. 13.92 (4) (b) 7., Stats., Register January 2011 No. 661; CR 18-092: am. (1) Register March 2020 No. 771, eff. 4-1-20.

Ins 5.03 Ins 5.03 Definitions. In this chapter:

Ins 5.03(1) (1) “Commissioner” means the commissioner of insurance or the deputy commissioner of insurance acting under s. 601.11 (1) (b), Stats.

Ins 5.03(2) (2) “Contested case” has the meaning given in s. 227.01 (3), Stats.

Ins 5.03(3) (3) “Declaratory ruling” means an administrative decision by the commissioner or a board which, after a contested case proceeding, determines the applicability of a statute or rule enforced by the commissioner to any person, property or state of facts.

Ins 5.03(4) (4) “Hearing” means the trial of the issues in a contested case.

Ins 5.03(6) (6) “License” means any license, permit, approval, certificate of authority, certificate of registration or similar form of permission required by law and issued under chs. 601 to 655, Stats.

Ins 5.03(7) (7) “Office” means the office of the commissioner.

Ins 5.03(8) (8) “PCF board” means the board of governors of the Wisconsin health care liability insurance plan and patients compensation fund established under s. 619.04 (3), Stats.

Ins 5.03(9) (9) “Person” means a natural person, corporation, limited liability company, partnership, cooperative, association, trust, other business entity or government entity.

Ins 5.03(10) (10) “Subpoena” means a command to give testimony or provide evidence.

Ins 5.03 History History: Cr. Register, March, 1996, No. 483, eff. 4-1-96; correction in (5) made under s. 13.93 (2m) (b) 7., Stats., Register June 2005 No. 594; CR 18-092: r. (5) Register March 2020 No. 771, eff. 4-1-20.

subch. II of ch. Ins 5 Subchapter II — Declaratory Ruling

Ins 5.05 Ins 5.05 Petition for declaratory ruling. An interested person may file with the commissioner or a board a petition for a declaratory ruling under s. 227.41, Stats. The petition shall comply with s. 227.41 (2), Stats., and shall state how the petitioner may be affected by the statute or rule referenced in the petition.

Ins 5.05 History History: Cr. Register, March, 1996, No. 483, eff. 4-1-96.

Ins 5.06 Ins 5.06 Response to petition. Within a reasonable time after a petition is filed under s. Ins 5.05, the commissioner or board shall grant or deny the petition. If the petition is granted, the commissioner or board shall initiate a contested case under s. 227.41 (1), Stats., by issuing a notice of hearing in the form specified in s. Ins 5.12. If the petition is denied, the commissioner or board shall issue a denial notice in writing, specifying the reason for the denial. The commissioner or board may permit the petitioner to amend the petition if it does not fully comply with s. 227.41 (2), Stats., or s. Ins 5.05.

Ins 5.06 History History: Cr. Register, March, 1996, No. 483, eff. 4-1-96.

subch. III of ch. Ins 5 Subchapter III — Investigations; Orders Issued by Office; Form Filing Disapprovals