Wisconsin Administrative Code

Ins 57.40 Care management organizations to file financial statements. A care management organization shall file annual and quarterly financial statements with the commissioner. A care management organization shall file the financial statements in a format determined by the commis…

Ins 57.41 Exemptions and effective dates. (1) The commissioner may grant an exemption from compliance with s. Ins 57.26 if the commissioner finds that compliance would constitute a financial or organizational hardship upon the care management organization, except as provided in s…

Ins 6.01 Foreign company to operate 2 years before admission. Experience has demonstrated that until a company has engaged in the business of insurance for at least 2 years there is not a sufficient basis upon which to form a judgment as to whether its methods and practices in th…

Ins 6.02 Company to transact a kind of insurance 2 years before admission. (1) Experience has demonstrated that until a company has engaged in a kind of insurance or in another kind of insurance of the same class for at least 2 years, there is not a sufficient basis upon which to…

Ins 6.03 Domestication of nondomestic insurer. (1) PURPOSE. Under s. 611.223 (1) (a), Stats., a nondomestic insurer may apply to the commissioner to become a domestic insurer. In accordance with s. 611.223 (1) (b), Stats., this section specifies the contents of the application ne…

Ins 6.05 Filing of insurance forms. (1) PURPOSE. This section interprets and implements ss. 601.42, 631.20, 631.22 and 631.61, Stats. (2) SCOPE. The requirements of this section shall apply to forms subject to s. 631.01, Stats., for the lines of insurance listed in s. Ins 6.75, e…

Ins 6.06 Minimum documentation in support of rate filings. (1) PURPOSE. The purpose of this section is to establish the minimum supplementary rate information required to be submitted with rate filings to the commissioner. Statutes interpreted or implemented by this section are s…

Ins 6.07 Insurance policy language simplification. (1) PURPOSE. The purpose of this rule is to establish minimum standards for legibility, coherence and understandability in consumer insurance policies delivered or issued for delivery in the state of Wisconsin on or after the eff…

Ins 6.08 Claimant representatives. (1) PURPOSE. This section provides limited regulatory guidelines concerning the activities of claimant representatives. This section also protects insurance consumers from practices that the commissioner finds to be unfair trade practices. The c…

Ins 6.09 Prohibited acts by captive agents of lending institutions and others. (1) PURPOSE. This rule implements and interprets applicable statutes, including but not limited to ch. 628, Stats., prohibiting concerted acts of boycott, coercion, or intimidation resulting in or tend…

Ins 6.10 Property and casualty premium restrictions. (1) PURPOSE. This section requires insurers who may return a premium that is less than the pro rata unearned premium to disclose this to the insured. This section also establishes prohibitions concerning specified practices rel…

Ins 6.11 Insurance claim settlement practices. (1) PURPOSE. This rule is to promote the fair and equitable treatment of policyholders, claimants and insurers by defining certain claim adjustment practices which are considered to be unfair methods and practices in the business of …

Ins 6.12 Qualification of actuaries. (1) PURPOSE. (a) The purpose of this rule is to protect the interests of insurers, insureds, insurance beneficiaries, insurance claimants, insurance company stockholders, and trustees, employers, covered employees, retired employees and termin…

Ins 6.13 Open records; privileged or confidential records. (1) Records of the office of the commissioner of insurance are subject to subch. II of ch. 19, Stats., and are open to inspection as required under subch. II of ch. 19, Stats. (2) The office of the commissioner may withho…

Ins 6.17 Regulation of surplus lines insurance. (1) PURPOSE. This rule implements and interprets ss. 601.42, 601.72, 601.73, 618.41 and 618.43, Stats., for the purpose of facilitating the regulation of surplus lines insurance business in this state. (2) PROHIBITED PLACEMENT. No l…

Ins 6.18 Reporting and payment of tax by unauthorized insurers transacting business in violation of law. (1) PURPOSE. This rule implements and interprets ss. 601.42, 610.11 and 618.43, Stats., for the purpose of facilitating the reporting and collection of tax due the state of Wi…

Ins 6.19 Reporting and taxation of directly placed unauthorized insurance. (1) PURPOSE. This rule imple- ments and interprets ss. 601.42, 618.42 and 618.43, Stats., for the purpose of facilitating the reporting and collection of tax due the state of Wisconsin from persons who dir…

Ins 6.20 Investments of insurance companies. (1) PURPOSE. The purpose of this rule is to implement and interpret ch. 620, Stats., for the purpose of establishing procedures and requirements for investments of insurance companies. (2) SCOPE. This rule shall apply to all insurers s…

Ins 6.25 Joint underwriting and joint reinsurance associations. (1) PURPOSE. This section, pursuant to s. 625.04, Stats., is intended to encourage an active, economical and efficient insurance market; to provide for the regulation of marketing practices; and to exempt certain ins…

Ins 6.30 Instructions for uniform classifications of expenses of fire and marine and casualty and surety insurers. For the purpose of establishing uniformity in classifications of expenses of fire and marine and casualty and surety insurers recorded in statements and reports file…

Ins 6.31 Interpretations of the instructions for uniform classifications of expenses of fire and marine and casualty and surety insurers. (1) PURPOSE. (a) This rule is intended to implement and interpret uniform accounting instructions in s. Ins 6.30. 1. The following kinds of ex…

Ins 6.35 Petroleum storage environmental cleanup fund; exclusions from reimbursement. (1) PURPOSE. This section interprets s. 292.63 (1) (ad) and (gm) and (4) (b) 15., Stats., by defining the liabilities that are excluded from coverage in liability insurance policies for bodily i…

Ins 6.40 Proxies, consents and authorizations of domestic stock insurers. (1) APPLICATION OF RULE. This rule is applicable to all domestic stock insurers having 100 or more stockholders; provided, however, that this rule shall not apply to any insurer if 95% or more of its stock …

Ins 6.41 Insider trading of equity securities of domestic stock insurers. (1) DEFINITIONS. (a) XInsurerY means any domestic insurance company with an equity security subject to the provisions of s. 611.31, Stats., and not exempt thereunder. (b) XOfficerY means a president, vice p…

Ins 6.42 Initial statement of beneficial ownership of securities. (1) PERSONS REQUIRED TO FILE STATEMENTS. A statement on Form 3 (shown at the end of this rule) of initial statement of beneficial ownership of securities is required to be filed by every person who is directly or i…

Ins 6.43 Statement of changes in beneficial ownership of securities. (1) PERSONS REQUIRED TO FILE STATEMENTS. Statements on Form 4 (shown at the end of this rule) of changes in beneficial ownership of securities are required to be filed by every person who at any time during any …

Ins 6.50 Kinds of individual intermediary or agent licenses. (1) PURPOSE. This rule sets forth the kinds of individual intermediary-agents, reinsurance intermediary and managing general agent licenses which may be issued. (2) LINES OF LICENSES. The following individual licenses m…

Ins 6.51 Group life and disability coverage termination and replacement. (1) PURPOSE. This section is intended to promote the fair and equitable treatment of group policyholders, insurers, employees and dependents, and the general public by setting out procedures to be followed w…

Ins 6.52 Biographical data relating to company officers and directors. (1) PURPOSE. This rule is intended to implement and interpret ss. 611.13 (2), 611.54 (1) (a), 611.57, 618.11 (4) and 618.21 (1) (b), Stats., for the purpose of setting standards for the reporting of biographic…

Ins 6.54 Prohibited classification of risks for rating purposes. (1) PURPOSE. This rule interprets and implements ss. 601.01 (2), 625.02, 625.11, 625.12 (2), 625.13, and 625.21 (2), Stats., and ch. 628, Stats., for the purpose of prohibiting certain practices. (2) SCOPE. This rul…

Ins 6.55 Discrimination based on sex, unfair trade practice. (1) PURPOSE. The purpose of this rule is to eliminate the act of denying benefits or refusing coverage on the basis of sex, to eliminate unfair discrimination in underwriting criteria based on sex, and to eliminate any …

Ins 6.57 Appointment of insurance agents by insurers. (1) Submission of an intermediary-agent appointment request shall initiate the appointment of an agent in accordance with s. 628.11, Stats. The appointment request shall be made in a manner prescribed by the commissioner withi…

Ins 6.58 Licensing of insurance intermediary firms as insurance agents. (1) PURPOSE. The purpose of this rule is to establish procedures for licensure of insurance intermediary firms as insurance intermediaries, reinsurance intermediaries, travel insurance agents or managing gene…

Ins 6.59 Licensing of individuals as agents, reinsurance intermediaries, or managing general agents (s. 628.04, Stats.). (1) PURPOSE. The purpose of this rule is to establish procedures for original licensure and license enlargement of an individual as an insurance agent, reinsur…

Ins 6.595 Exemption of licensing of individuals as intermediaries. (1) DEFINITIONS. In this section: (a) XNegotiateY means to confer directly with or offer advice directly to a purchaser or prospective purchaser of a particular contract of insurance concerning any of the substant…

Ins 6.60 Prohibited business practices. (1) In this section: (a) XAffiliateY means any person who is under the control of or acts at the direction of the agent. (b) XAgentY means an intermediary as defined in s. 628.02, Stats. (c) XCustomerY means a natural person with whom the a…

Ins 6.61 Intermediary records. (1) PURPOSE. This section protects insurance policyholders by prescribing minimum standards and techniques of accounting and data handling of intermediaries to ensure that timely and reliable information will exist and be available to the commission…

Ins 6.62 Filing requirements for multiple employer trusts and associations. (1) In this section: (a) XIntermediaryY has the meaning provided under s. 628.02 (1), Stats. (b) 1. XMultiple employer trust or association,Y except as provided by subd. 2., means a trust, association or …

Ins 6.63 Regulation charge. (1) The renewal fee to be paid biennially in a payment type prescribed by the commissioner, by each licensed individual intermediary-agent is: Resident agent $ 35.00 Nonresident agent $ 70.00 (2) Renewal fees are due on the last day of the intermediary…

Ins 6.66 Proper exchange of business. (1) The purpose of this rule is to interpret s. 628.61, Stats., regarding the proper exchange of business between agent intermediaries. (2) Proper exchange of business means the forwarding of insurance business from one agent who cannot, afte…

Ins 6.67 Unfair discrimination in life and disability insurance. (1) PURPOSE. The purpose of this rule is to identify specific acts or practices in life and disability insurance found to be unfairly discriminatory under s. 628.34 (3) (b), Stats. Note: The need for a rule has aris…

Ins 6.68 Unfair discrimination based on geographic location or age of risk. (1) PURPOSE. The purpose of this rule is to identify specific acts or practices found to be unfair trade practices that are unfairly discriminatory under s. 628.34, Stats. (2) APPLICABILITY AND SCOPE. Thi…

Ins 6.70 Combinations of lines and classes of insurance. This rule defines and delimits the permissible combinations of the lines and classes of insurance defined and delimited by s. Ins 6.75 which may be written in the same policy. Except as provided in this rule, lines and clas…

Ins 6.72 Risk limitations. (1) Except as otherwise provided by law or by order of the commissioner, no single risk assumed by any insurance company shall exceed 10% of surplus as regards policyholders, except that in an assessable mutual com- 64 pany it may be a greater amount no…

Ins 6.74 Suretyship and risk limitations of surety obligations. (1) PURPOSE. The purpose of this rule is to establish minimum requirements for the transaction of surety obligations. (2) SCOPE. This rule shall apply to the limitations on bond penal amounts imposed on insurers enga…

Ins 6.75 Classifications of insurance. This rule defines and delimits lines and classes of insurance for any purposes within the commissioner[s regulatory power unless the language or context of a statute or rule otherwise provides. (1) LIFE AND DISABILITY INSURANCE. Life and dis…

Ins 6.76 Grounds for disapproval of and authorized clauses for fire, inland marine and other property insurance forms. (1) PURPOSE. The purpose of this rule is to the chapter was last published. Ins 6.76 WISCONSIN ADMINISTRATIVE CODE set out characteristics and provision of fire,…