Wisconsin Administrative Code

Ins 3.465 Wisconsin long-term care partnership program. (1) GENERAL APPLICABILITY. The provisions within s. Ins 3.46 regarding insurance transactions for long-term care and life insurance policies with long-term care provisions apply to insurance transactions described within thi…

Ins 3.47 Cancer insurance solicitation. (1) FINDINGS. Information on file in the office of the commissioner of insurance shows that significant misunderstanding exists with respect to cancer insurance. Consumers are not aware of the limitations of cancer insurance and do not know…

Ins 3.49 Wisconsin automobile insurance plan. (1) PURPOSE. This section interprets s. 619.01 (6), Stats., to continue a plan to make automobile insurance available to those who are unable to obtain it in the voluntary market by providing for the equitable distribution of applican…

Ins 3.51 Reports by individual practice associations. (1) DEFINITIONS. For the purpose of this section only: (a) XAccountantY means an independent certified public accountant who is duly registered to practice and in good standing Ins 3.51 under the laws of this state or a state …

Ins 3.53 HIV testing. (1) FINDINGS. The tests listed in sub. (4) (e) have been specified by the state epidemiologist in part B (4) of a report entitled XValidated positive, medically significant and sufficiently reliable tests to detect the presence of human immunodeficiency viru…

Ins 3.54 Home health care benefits under disability insurance policies. (1) PURPOSE. This section implements and interprets ss. 628.34 (1) and (12), 631.20 and 632.895 (1) and (2), Stats., for the purpose of facilitating the administration of claims for coverage of home health ca…

Ins 3.55 Benefit appeals under long-term care policies, life insurance-long-term care coverage. (1) PURPOSE. This section implements and interprets s. 632.84, Stats., for the purpose of establishing minimum requirements for the internal procedure for benefit appeals that insurers…

Ins 3.60 Disclosure of information on health care claim settlements. (1) PURPOSE. This section implements and interprets s. 628.34 (1) (a) and (12), Stats., for the purpose of allowing insureds and providers access to information on the methodology health insurers use to determin…

Ins 3.65 Standardized claim format. (1) PURPOSE; This section implements s. 632.725 (2) (a) and (b), Stats., by designating and establishing requirements for use of the forms that health care providers in this state shall use on and after July 1, 1993, for providing a health insu…

Ins 3.651 Standardized explanation of benefits and remittance advice format. (1) PURPOSE. This section implements s. 632.725 (2) (c), Stats., by prescribing the requirements for the following, to be used by insurers providing health care coverage to one or more residents of this …

Ins 3.67 Benefit appeals under certain policies. (1) DEFINITIONS. In this section: (a) XDefined network planY has the meaning provided under s. 609.01 (1b), Stats. (am) XExpedited requestY means a request where the standard resolution process may include any of the following: 1. …

Ins 3.75 Continuation of discontinued employer provided health group policy coverage for employees and their dependents. (1) PURPOSE. The purpose of this section is to allow assistance eligible individuals to elect continued coverage provided under s. 632.897, Stats., in circumst…

Ins 4.01 Interpretation and implementation of s. 632.05 (2), Stats. (1) SCOPE. Section 632.05, Stats., and this section apply to policies issued or renewed on or after November 29, 1979, which insure real property owned and occupied by the insured as a dwelling. (2) INTERPRETATIO…

Ins 4.08 Inland marine insurance exempt from filing requirements. (1) PURPOSE. In accordance with s. 625.04, Stats., the purpose of this section is to exempt from the filing requirements of s. 625.13, Stats., all classes of inland marine risks. (2) SCOPE. This section shall apply…

Ins 4.10 Wisconsin insurance plan. (1) PURPOSE. the chapter was last published. Ins 4.10 WISCONSIN ADMINISTRATIVE CODE upholstery cleaning; diaper service or infants[ apparel laundries; dry cleaning; laundries; linen supply. 2. Installation, servicing and repair—Electrical equipm…

Ins 40.01 Definitions.

Ins 40.02 Acquisition of control of or merger with domestic insurer or divestiture of the shares of a domestic insurer.

Ins 40.025 Acquisitions Involving Insurers Not Otherwise Covered.

Ins 40.03 Registration.

Ins 40.04 Standards for transactions within an insurance holding company system.

Ins 40.05 Privileged information.

Ins 40.07 Designation of the group-wide supervisor of internationally active insurance groups.

Ins 40.08 Duties of the group-wide supervisor.

Ins 40.09 Insurer[s duty to pay reasonable expenses. Subchapter II—Insurance Holding Company Systems—Reporting Forms

Ins 40.11 Instructions.

Ins 40.12 Forms—incorporation by reference, summaries and omissions.

Ins 40.13 Forms—extension of time to furnish.

Ins 40.14 Forms—additional information and exhibits.

Ins 40.15 Registration form.

Ins 40.16 Alternative and consolidated registrations.

Ins 40.17 Transactions subject to prior notice—notice filing.

Ins 40.18 Extraordinary dividends and other distributions.

Ins 40.19 Consent to jurisdiction.

Ins 40.20 Enterprise Risk Report.

Ins 40.21 Group capital calculation. Note: The annual registration requirements under this chapter first apply after December 31, 1993. (a) Premiums written in at least three countries. (b) The percentage of gross premiums written outside the United States is at least 10 percent …

Ins 41.01 Domestic insurers required to file reports of material transactions. (1) Domestic insurers shall file a report with the commissioner disclosing material acquisitions and dispositions of assets or material nonrenewals, cancellations or revisions of ceded reinsurance agre…

Ins 41.05 Acquisitions and dispositions of assets. (1) An acquisition or disposition of assets is not required to be reported under s. Ins 41.01 if the acquisition or disposition is not material. For purposes of this chapter a material acquisition, or the aggregate of any series …

Ins 41.10 Nonrenewals, cancellations or revisions of ceded reinsurance agreements. (1) MATERIALITY AND SCOPE. (a) No nonrenewals, cancellations or revisions of ceded reinsurance agreements need be reported under s. Ins 41.01 if the nonrenewals, cancellations or revisions are not …

Ins 41.90 Other requirements. This chapter is in addition to, and does not supersede or substitute for, other disclosure or filing requirements, including, but not limited to, s. 611.78, Stats., and ch. 617, Stats. History: Cr. Register, December, 1995, No. 480, eff. 1-1-96. the …

Ins 42.01 Definitions. In this chapter: (1) XActuaryY means a person who is a member in good standing of the American Academy of Actuaries. (2) XInsurerY means an insurer as defined under s. 600.03 (27), Stats., which has a certificate of authority under ch. 611, 612, 613, 614 or…

Ins 42.02 Licensure required. (1) No person, including, but not limited to, a natural person, may act as a managing general agent for an insurer with respect to a risk located in this state unless the person is licensed as a managing general agent under s. 628.04 or 628.09, Stats…

Ins 42.03 Required contract provisions. No person may act as a managing general agent for an insurer unless the person first enters into and subsequently complies with a written contract between the parties which sets forth the responsibilities of each party and, where both parti…

Ins 42.035 Applicability. (1) A managing general agent functioning without a written contract on or after August 1, 1993 is deemed to be subject to terms consistent with s. Ins 42.03. (2) A managing general agent which first enters into, amends or renews a contract on or after Au…

Ins 42.04 Effect of noncompliance on contract terms. A contract between an insurer and a managing general agent that violates s. Ins 42.03 is enforceable against the managing general agent as if it conformed to s. Ins 42.03. History: Cr. Register, July, 1993, No. 451, eff. 8-1-93…

Ins 42.05 Duties of insurers. (1) Each insurer shall have on file an independent financial examination of each managing general agent with which it has done business after August 1, 1993. (2) If a managing general agent establishes loss reserves, the insurer shall annually obtain…

Ins 42.06 Examination authority. The acts of a managing general agent are acts of the insurer on whose behalf it is acting. A managing general agent may be examined as if it were the insurer. History: Cr. Register, July, 1993, No. 451, eff. 8-1-93.

Ins 42.07 Additional restrictions. This chapter is in addition to ss. 611.67 and 618.22, Stats. History: Cr. Register, July, 1993, No. 451, eff. 8-1-93. the chapter was last published.

Ins 45.01 Definitions. In this chapter, unless the context otherwise requires: (1) XAccredited stateY means a state in which the insurance department or regulatory agency has qualified as meeting the minimum financial regulatory standards promulgated and established from time to …

Ins 45.02 Scope. (1) This chapter applies only to insurers which are domiciled in this state or which are domiciled in a state that is not an accredited state or which does not have in effect a law which is substantially similar to this chapter. (2) (a) Except as provided by par.…

Ins 45.03 Minimum standards. A controlled insurer may not accept business from a controlling producer and a controlling producer may not place business with a controlled insurer unless there is a written contract between the controlling producer and the insurer specifying the res…