Wis. Admin. Code Office of the Commissioner of Insurance Ins 9.07 - Copies of provider agreements

(1) Notwithstanding any claim of trade secret or proprietary information, all insurers offering a defined network plan, preferred provider plan or limited service health organization shall, upon request, from the commissioner, make available to the commissioner all executed copies of any provider agreements between the insurer and intermediate entities or individual providers. Any party to a provider agreement may assert that a portion of the contracts contain trade secrets, and the commissioner may withhold that portion to the extent it may be withheld under s. Ins 6.13.

(2) All health maintenance organization insurers or insurers licensed to write only limited service health organization business shall file with the commissioner, prior to doing business, copies of all executed provider agreements and other contracts covering liabilities of the health maintenance organization. For contracts with providers, a list of providers executing a standard contract and a copy of the form of the contract may be filed instead of copies of the executed contracts.

Notes

Wis. Admin. Code Office of the Commissioner of Insurance Ins 9.07

Cr. Register, February, 2000, No. 530, eff. 3-1-00; CR 05-059: am. (1) Register February 2006 No. 602, eff. 3-1-06; CR 06-083: am. (1) Register December 2006 No. 612, eff. 1-1-07.