Wisconsin Statutes (Last Updated: January 10, 2017) |
Chapter 632. Insurance Contracts In Specific Lines |
SubChapter VI. DISABILITY INSURANCE |
Section 632.857. Explanation required for restriction or termination of coverage.
Latest version.
- If an insurer restricts or terminates an insured's coverage for the treatment of a condition or complaint and, as a result, the insured becomes liable for payment for all of his or her treatment for the condition or complaint, the insurer shall provide on the explanation of benefits form a detailed explanation of the clinical rationale and of the basis in the policy, plan, or contract or in applicable law for the insurer's restriction or termination of coverage.