Chapter 609 — DEFINED NETWORK PLANS
55 sections in this chapter.
Wis. Stat. § 609.94 Summary of restrictions
1.1K chars
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 …
Wis. Stat. § 609.95 Minimum covered liabilities
0.3K chars
609.95 Minimum covered liabilities. A health maintenance organization insurer, whether first licensed or organized before, on or after July 1, 1989, shall maintain, on and after January 1, 1990, at least 65 percent of its liabilities for health care costs as covered liabilities. …
Wis. Stat. § 609.96 Initial capital and surplus requirements
0.9K chars
609.96 Initial capital and surplus requirements. (1) MINIMUM CAPITAL AND PERMANENT SURPLUS. (a) Except as provided in par. (b), if a health maintenance organization insurer is first licensed or organized on or after July 1, 1989, the minimum capital or permanent surplus for the h…
Wis. Stat. § 609.97 Compulsory and security surplus
2.6K chars
609.97 Compulsory and security surplus. (1) AMOUNT OF COMPULSORY SURPLUS. Except as otherwise provided by rule or order under sub. (2), a health maintenance organization insurer, whether first licensed or organized before, on or after July 1, 1989, shall maintain a compulsory sur…
Wis. Stat. § 609.98 Special deposit
2.7K chars
609.98 Special deposit. (1) DEFINITION. In this section, “premiums” has the meaning given under s. 646.51 (1c) (c). (2) DUTY; AMOUNT. (a) Before April 1, 1990, and before April 1 of each following year, a health maintenance organization insurer shall deposit under s. 601.13 an am…