Skip navigation Wisconsin State Legislature
Up
Written reason required, 609.89, 631.17
Coverage, mandatory:
Adopted children, 609.75
Autism, 609.87, 632.895 (12m)
Breast reconstruction, 609.77
Chiropractic coverage, 609.70
Colorectal cancer screening, 609.875
Contraceptives, 609.805, 632.895 (17)
Dental anesthetics, hospital and surgery center charges, 609.79
Dependent coverage, 609.755
Students, 609.655
Domestic abuse victims, 609.90, 631.95
Drugs and devices, 609.83
Emergency conditions without prior authorization, 609.82
Experimental treatment, 609.84
HIV infection, 609.81
Immunization coverage, 609.88, 632.895 (14)
Mammograms, 609.80
Mentally ill, coverage for court-ordered services for, 609.65
Student on medical leave, 609.76
Temporomandibular disorders, 609.78
Defined network plans:
Access standards, 609.22
Applicability of requirements to preferred provider plans, 609.35
Clinical decision-making; medical director, 609.34
Continuity of care, 609.24
Data systems and confidentiality, 609.36
Oversight, 609.38
Provider disclosures, 609.30
Quality assurance, 609.32
Rules for, 609.20
Disability, certification of, 632.99
Disciplinary action against providers, report to board, 609.17
Disclosure of estimated costs to insurer for covered procedures, 609.71, 632.798
Employee benefit plans, see Insurance—10. Employee Benefit Plans
Enrollment periods, notice, 609.10
Free choice of providers, 609.05 (1)
Grievance procedure, 632.83
Group health claims experience disclosure, 632.797
Group health plans:
Contract termination and renewability, 632.749
Definitions, 632.745
Discrimination prohibited, 632.748
Guaranteed acceptance, 632.747
Guaranteed renewability of individual coverage, 632.7495
Preexisting conditions, portability, restrictions, enrollment periods, 632.746
Uniform employee application form, 635.10
Health benefit purchasing cooperatives, 185.99
Health care costs recovery, restrictions, election, 609.91 to 609.94
Hearing aids, cochlear implants, other devices; for children, 609.86
HMOs:
Compulsory surplus, 609.97
Initial capital and surplus requirements, 609.96
Minimum covered liabilities, 609.95
Security surplus, 609.97
Special deposits, 609.98
Hospitals, recovery of health care costs, 609.92
Individual practice associations, recovery of health care costs, 609.92, 609.93
Joint ventures desirable, legislative findings, 609.001
Lead poison screening coverage, 609.85, 632.895 (10)
Limitations on health care service corporations, 628.36
Management contract services, 611.67
Medical assistance program, payments to hospitals, 49.45 (59)
Medical savings accounts, study and report by commissioner, 632.899
Mental disorders, alcoholism, and other diseases, 609.715
Milwaukee officers and employees, 62.61
Municipal officers and employees, 66.0137 (5)
Open enrollment upon liquidation, 632.795
Optometric coverage, 609.60
Pharmaceutical services, 628.36 (2m)
Preferred provider and defined network, rules for, 609.20
Primary provider designation, 609.05 (2)
Public employees, see State—12. Employee Trust Funds
Referrals from primary provider, 609.05 (3)
Rehabilitation and liquidation law apply, 645.02 (7)
Restrictions on operations, 609.03
Small employer plans:
Generally, Ch. 635
Applicability of provisions, 635.01
Certification of insurer, annual, 635.13 (2)
Definitions, 635.02
Disclosures to small employer, required, 635.11
Marketing standards, 635.18
Rate regulation, 635.05
Annual publication of rates, 635.12
Temporary suspension, 635.15
Records of insurer, 635.13 (1)
Small group markets, coverage issuance, 635.19
Standard plan and point-of-service option plan required, 609.10
Down
Loading...
Loading...