Ins 5.01(1)(1)This chapter interprets subch. III of ch. 227, Stats., and ss. 102.31 (4), 153.78, 601.44 (6), and 601.62, Stats., and applies to administrative actions under the jurisdiction of the commissioner, and the PCF board.
Ins 5.01(2)(2)This chapter does not apply to rule-making hearings under subch. II of ch. 227, Stats.
Ins 5.01(3)(3)This chapter does not require a contested case proceeding before the issuance of a declaratory order under s. 601.41 (4) (b), Stats.
Ins 5.01 HistoryHistory: Cr. Register, March, 1996, No. 483, eff. 4-1-96; correction in (1) made under s. 13.92 (4) (b) 7., Stats., Register January 2011 No. 661; CR 18-092: am. (1) Register March 2020 No. 771, eff. 4-1-20.
Ins 5.03Ins 5.03Definitions. In this chapter:
Ins 5.03(1)(1)“Commissioner” means the commissioner of insurance or the deputy commissioner of insurance acting under s. 601.11 (1) (b), Stats.
Ins 5.03(2)(2)“Contested case” has the meaning given in s. 227.01 (3), Stats.
Ins 5.03(3)(3)“Declaratory ruling” means an administrative decision by the commissioner or a board which, after a contested case proceeding, determines the applicability of a statute or rule enforced by the commissioner to any person, property or state of facts.
Ins 5.03(4)(4)“Hearing” means the trial of the issues in a contested case.
Ins 5.03(6)(6)“License” means any license, permit, approval, certificate of authority, certificate of registration or similar form of permission required by law and issued under chs. 601 to 655, Stats.
Ins 5.03(7)(7)“Office” means the office of the commissioner.
Ins 5.03(8)(8)“PCF board” means the board of governors of the Wisconsin health care liability insurance plan and patients compensation fund established under s. 619.04 (3), Stats.
Ins 5.03(9)(9)“Person” means a natural person, corporation, limited liability company, partnership, cooperative, association, trust, other business entity or government entity.
Ins 5.03(10)(10)“Subpoena” means a command to give testimony or provide evidence.
Ins 5.03 HistoryHistory: Cr. Register, March, 1996, No. 483, eff. 4-1-96; correction in (5) made under s. 13.93 (2m) (b) 7., Stats., Register June 2005 No. 594; CR 18-092: r. (5) Register March 2020 No. 771, eff. 4-1-20.
subch. II of ch. Ins 5Subchapter II — Declaratory Ruling
Ins 5.05Ins 5.05Petition for declaratory ruling. An interested person may file with the commissioner or a board a petition for a declaratory ruling under s. 227.41, Stats. The petition shall comply with s. 227.41 (2), Stats., and shall state how the petitioner may be affected by the statute or rule referenced in the petition.
Ins 5.05 HistoryHistory: Cr. Register, March, 1996, No. 483, eff. 4-1-96.
Ins 5.06Ins 5.06Response to petition. Within a reasonable time after a petition is filed under s. Ins 5.05, the commissioner or board shall grant or deny the petition. If the petition is granted, the commissioner or board shall initiate a contested case under s. 227.41 (1), Stats., by issuing a notice of hearing in the form specified in s. Ins 5.12. If the petition is denied, the commissioner or board shall issue a denial notice in writing, specifying the reason for the denial. The commissioner or board may permit the petitioner to amend the petition if it does not fully comply with s. 227.41 (2), Stats., or s. Ins 5.05.
Ins 5.06 HistoryHistory: Cr. Register, March, 1996, No. 483, eff. 4-1-96.
subch. III of ch. Ins 5Subchapter III — Investigations; Orders Issued by Office; Form Filing Disapprovals
Ins 5.07Ins 5.07Complaint; investigation.
Ins 5.07(1)(1)Any person may file with the office a complaint about any person subject to regulation under ch. 153, Stats., or chs. 600 to 655, Stats.
Ins 5.07(2)(2)Based on a complaint under sub. (1) or other information available, the office may investigate to determine whether there is probable cause to take action against a person subject to regulation under ch. 153, Stats., or chs. 600 to 655, Stats.
Ins 5.07 HistoryHistory: Cr. Register, March, 1996, No. 483, eff. 4-1-96.
Ins 5.08Ins 5.08Orders.
Ins 5.08(1)(1)Issuance. If the office determines, based on its examination or investigation of a person regulated under ch. 153, Stats., or chs. 600 to 655, Stats., that there is probable cause to believe that a person has violated any provisions of those chapters, a rule promulgated under those chapters or an order under s. 601.41 (4) (a) and 601.63, 601.64 or 601.65, Stats., the office may issue an order under s. 153.78 or 601.41 (4) (a), Stats., or issue a notice of hearing under s. 601.62, Stats., and s. Ins 5.12, or both.
Ins 5.08(2)(2)Contents of order.
Ins 5.08(2)(a)(a) An order under s. 153.78, Stats., or ss. 601.41 (4) (a) and 601.63, 601.64 or 601.65, Stats., shall be accompanied by notice of the right to a hearing under s. 601.62 (3) (a), Stats., shall be captioned as provided in s. Ins 5.17 (1) and shall include all of the following: