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Wisconsin Administrative Code (Last Updated: January 10, 2017) |
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Agency Ins. Office of the Commissioner of Insurance |
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Chapter 18. Health Benefit Plan Grievances And Independent Review Organizations Certification And Review Procedures |
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SubChapter II. Grievance Procedures |
Section 18.05. Expedited grievance procedure.
Latest version.
- Section Ins 18.03 (2) to (4) and (6) does not apply to expedited grievances. For these situations, an insurer offering a health benefit plan shall develop a separate expedited grievance procedure. An expedited grievance shall be resolved as expeditiously as the insured's health condition requires but not more than 72 hours after receipt of the grievance. An insurer offering a health benefit plan, upon written request, shall mail or electronically mail a copy of the insured's complete policy to the insured or the insured's authorized representative as expeditiously as the grievance is handled.
CR 00-169
: cr.
Register November 2001 No. 551
, eff. 12-1-011;
CR 10-023
: am.
Register September 2010 No. 657
, eff. 10-1-10.