Ins 17.25(12m)(a)(a) This subsection implements s. 619.04 (5m) (a), Stats., requiring the establishment of an automatic increase in a provider’s plan premium based on loss and expense experience.

Ins 17.25(12m)(b)1.1. “Aggregate indemnity” has the meaning given under s. Ins 17.285 (2) (a).

Ins 17.25(12m)(b)2.2. “Closed claim” has the meaning given under s. Ins 17.285 (2) (b).

Ins 17.25(12m)(b)3.3. “Provider” has the meaning given under s. Ins 17.285 (2) (d).

Ins 17.25(12m)(b)4.4. “Review period” has the meaning given under s. Ins 17.285 (2) (e).

Ins 17.25(12m)(c)(c) The following tables shall be used in making the determinations required under s. Ins 17.285 as to the percentage increase in a provider’s plan premium:

Ins 17.25(12m)(c)1.1. For a class 1 and class 8 physician, podiatrist, nurse anesthetist, nurse midwife, nurse practitioner or cardiovascular perfusionist:

Ins 17.25(12m)(c)2.2. For a class 2 physician:

Ins 17.25(12m)(c)3.3. For a class 3 physician:

Ins 17.25(12m)(c)4.4. For a class 4 physician:

Ins 17.25(12m)(c)5.5. For a class 5A physician:

Ins 17.25(12m)(c)6.6. For a class 5 physician:

Ins 17.25(12m)(c)7.7. For a class 6 physician:

Ins 17.25(12m)(c)8.8. For a class 7 physician:

Ins 17.25(12m)(c)9.9. For a class 9 physician:

Ins 17.25(14)(a)(a) The plan may not cancel or refuse to renew a policy except for one or more of the following reasons:

Ins 17.25(14)(a)1.1. Nonpayment of premium.

Ins 17.25(14)(a)2.2. Revocation of the license of the insured by the appropriate licensing board.

Ins 17.25(14)(a)3.3. Revocation of accreditation, registration, certification or other approval issued to the insured by a state or federal agency or national board, association or organization.

Ins 17.25(14)(a)4.4. If the insured is not licensed, accredited, registered, certified or otherwise approved, failure to provide evidence that the insured continues to provide health care services in accordance with the code of ethics applicable to the insured’s profession, if the board requests such evidence.

Ins 17.25(14)(b)(b) Each notice of cancellation or nonrenewal under par. (a) shall include a statement of the reason for the cancellation or nonrenewal and a conspicuous statement that the insured has the right to a hearing as provided in sub. (16).

Ins 17.25(15)(a)(a) If the application designates a licensed agent, the plan shall pay the agent a commission for each new or renewal policy issued, as follows:

Ins 17.25(15)(a)1.1. To a health care provider specified in sub. (5) (a) to (e) or (m), 15% of the premium or $150, whichever is less.

Ins 17.25(15)(a)2.2. To a health care provider specified in sub. (5) (f) to (L) or (n), 5% of the annual premium or $2,500 per policy period, whichever is less.

Ins 17.25(15)(b)(b) An agent need not be listed by the insurer that acts as the plan’s servicing company to receive a commission under par. (a).