Summary of restrictions

Wis. Stat. § 609.94 — under DEFINED NETWORK PLANS.

Wis. Stat. § 609.94

609.94 Summary of restrictions. (1) A health maintenance organization insurer shall deliver a written notice that complies with sub. (2) to all of the following: (a) Each provider that contracts with the health maintenance organization insurer to provide health care services, at the time that the health maintenance organization insurer and provider enter into a contract. (b) Each participating provider of the health maintenance organization insurer, at the time that the provider becomes a participating provider. (2) The notice shall contain a summary of ss. 609.91 to 609.935 and 609.97 (1) and a statement that the health maintenance organization insurer files financial statements with the office which are available for public inspection. The commissioner may, by rule, specify a form for providing the notice required under this section. If the commissioner promulgates such a rule, any notice delivered on or after the effective date of the rule shall comply with the form specified by rule. History: 1989 a. 23; 1997 a. 237. Cross-reference: See also s. Ins 9.13, Wis. adm. code.