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Reporting requirements – Wis. Admin. Code Ins §18-06
Link to the law
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Current as of June 2015
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Reporting Requirements
An insurer must keep each record of a complaint or grievance submitted to the insurer for at least 3 years. The law requires that the insurer maintain these records at the insurer's home or principal office, and that the insurer make these records available for review during examinations by the commissioner or office.
The insurer must submit a grievance report annually to the Commissioner of Insurance. The report must classify the complaints into two categories: (a)plan administration (plan marketing, billing, etc.), and (b) benefit services (denial of benefit, quality of care, etc).
Current as of June 2015
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