Douglas La Follette
Secretary of State
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Communications
July 7, 1995
Speaker David Prosser
Wisconsin State Assembly
Room 211 West, State Capitol
P.O. Box 8953
Madison, WI 53708
Dear Speaker Prosser:
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It is with regret that I must resign from the Advisory Council on Highway Safety. I have been unable to attend the meetings of the Council since the meetings are held on Mondays. This is an extremely inconvenient time for me due to the number of commitments I have back in the district. Perhaps there is someone else who would be interested in serving on the committee.
Thank you for your consideration in this matter.
Sincerely,
Donald Hasenohrl
State Representative
70th Assembly District
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SPEAKER'S APPOINTMENTS
August 16, 1995
Representative John Ryba
Room 315, 100 N. Hamilton
Madison, WI 53702
Dear John:
Pursuant to Section
15.467 (3), Wis. Stats., it is my pleasure as Speaker of the Assembly to appoint you as a member of the Council on Highway Safety.
This appointment is effective as of this date.
Sincerely,
David Prosser, Jr.
Assembly Speaker
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Referral of Agency Reports
State of Wisconsin
Commissioner of Insurance
Madison
June 1995
To the Honorable, the Legislature:
Pursuant to s.
153.25, Wis. Stat., the Office of Health Care Information (OHCI) is pleased to submit to the Governor and the Legislature its fifth hospital report on mortality and morbidity. As stipulated in s.
153.40 (6), Wis. Stat., OHCI provided hospitals the opportunity to review and comment on their data. Written hospital comments have been included in the report.
OHCI wishes to express its appreciation and thanks to the members of the Mortality and Morbidity Technical Advisory Committee for their valued assistance in the planning and organization of this report, as well as to all Wisconsin hospitals that were part of the reporting process.
Please contact OHCI if you or your staff would like additional copies of this report, or have any questions.
Sincerely,
Josephine W. musser
Commissioner of Insurance
TRUDY A. KARLSON, Ph.D.
Director, OHCI
Referred to committee on Health.
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State of Wisconsin
Office of the Commissioner of Insurance
Madison
June 1995
To the Honorable, the Legislature:
Pursuant to section 153.10(1), Wis. Stat., we are pleased to submit to the Governor and to the Legislature the quarterly Health Care Data Report. This report is based on hospital inpatient discharge data reported to the Office of Health Care Information by all operating general medical-surgical and specialty hospitals in Wisconsin for the first quarter of 1994 (January-March). It also contains selected ambulatory surgery utilization and charge data from general medical-surgical hospitals and freestanding ambulatory surgery centers in Wisconsin during the same quarter.
This report fulfills the statutory requirement to report "in a manner that permits comparisons among hospitals ... the charges for up to 100 health care services or diagnostic-related groups selected by the office."
Sincerely,
josephine W. musser
Commissioner of Insurance
Trudy A. Karlson, Ph.D.
Director, OHCI
Referred to committee on Health.
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State of Wisconsin
Office of the Commissioner of Insurance
Madison
June 30, 1995
To the Honorable, the Legislature:
Attached is the annual report of the Small Employers Insurance Board (Board) as required under Section
635.23, Wis. Stat.
The report discusses, among other issues, the performance of the Small Employer Health Insurance Basic Plan. In evaluating the performance of this Plan which requires small group health insurers to offer a guarantee issue product, the Board expressed a desire to communicate opinions to the Legislature on how the performance of this plan could be improved.
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Since some of the proposals discussed by the Board lie outside of its jurisdiction, it was felt that they be communicated separate from the annual report. In particular, the Board identified the following suggestions:
1. The provisions in the state statute for the Basic Plan should be amended to allow for two policies, one with a high annual limit on coverage and one with a low annual limit. The low annual limit of $30,000 in benefits was identified in a recent survey as one of the more negative aspects of the benefit design preventing employers from purchasing policies.
2. Statutes mandating an employer contribution should be amended to allow for employees to pay more of the premium, rather than not be eligible for the Basic Plan because an employer could not afford to contribute to premiums.
3. Expand the effects of Chapter
635, Wis. Stat. to apply to larger groups (for example up to 100 employees).
The Board felt that these changes would improve the marketability of Basic Plan policies by insurers.
The Board has also asked me to express their desire to discuss these provisions with members of the Legislature at a later meeting.
Should you have any questions, please contact me, or Peter Farrow at 264-6239.
Best regards,
josephine W. musser
Commissioner of Insurance
Referred to committee on Health.
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State of Wisconsin
Office of the Commissioner of Insurance
Madison
June 30, 1995
To the Honorable, the Assembly:
In accordance with s.619.15 (2), Wis. Stat., I am pleased to submit the annual Report of the Wisconsin Health Insurance Risk-Sharing Plan (HIRSP). The plan was established in 1981 and now offers health insurance to 11,264 Wisconsin residents.
The major issue on the HIRSP agenda continues to be cost containment. In addition, the HIRSP Board of Governors and the Wisconsin Office of the Commissioner of Insurance (OCI) have also taken several steps toward policyholder education. Highlights of the past year include:
ENROLLMENT
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As of December 31, 1994, there were 11,264 Wisconsin citizens enrolled in HIRSP, compared to 11,514 at the same time last year. A table summarizing enrollment trends for the eighteen month period ending December 31, 1994 is included as Attachment 1.
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Enrollment has been on the decline due to small group insurance reform, as well as a steady increase in premiums. A survey of policyholders who voluntarily terminated HIRSP coverage during 1994 indicated that approximately 50 percent had obtained other insurance coverage.
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34% of enrollees receive a subsidy to lower their premiums and deductibles, compared to 32% in 1993. Premium and deductible subsidy payments during the year totaled $2.8 million.
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70 % of HIRSP policyholders are age 45 and older. 30% of all policyholders are between ages of 60-64.
INCOME
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Assessments on insurers totaled $20,140,000 in calendar year 1994, an increase of 12 percent over 1993 collections. A table summarizing assessment trends in included as Attachment 2.
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$24,871,927 in premiums were collected for calendar year 1994, a decrease of 3 percent over 1993 collections.
CLAIMS
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Total plan expenses during the year were $45,201,903. Administrative costs account for less than 5 percent of total plan expenses.
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$48,184,458 was paid in claims for 1994 versus $46,257,835 in 1993. Of this amount, $19,484,733 was for inpatient claims, $21,661,656 was for professional services, and $7,038,069 was for outpatient claims.
