Wisconsin Office of the Commissioner of Insurance Updates December 16, 2011 bulletin on Grievance and Independent Review Requirements With Hyperlink to Center for Consumer Information and Insurance Oversight (CCIIO) final determination letter
Jan 18, 2012
The Wisconsin Office of the Commissioner of Insurance has updated the December 16, 2011 bulletin on Grievance and Independent Review Requirements to include a link to the Center for Consumer Information and Insurance Oversight (CCIIO) final determination letter dated December 21, 2011.
The bulletin is reprinted below:
| Date: | December 16, 2011 |
| To: | Insurers Offering Accident and Disability Insurance |
| From: | Theodore K. Nickel, Commissioner of Insurance |
| Subject: | Grievance and Independent Review Requirements |
On December 2, 2011, the Office of Commissioner of Insurance (OCI) issued a statement of scope for issuing an emergency rule relating to repeal of Emergency Rule 1117. Emergency Rule 1117 was promulgated on an emergency basis effective November 16, 2011, and related to grievance and independent review requirements bringing the State of Wisconsin into full compliance with 42 USC 300gg. The OCI will not promulgate Emergency Rule 1117 as a permanent rule.
As a result of these developments, OCI anticipates that the Center for Consumer Information and Insurance Oversight (CCIIO) will withdraw their approval of the Wisconsin process, and the State of Wisconsin will no longer be listed as being compliant. Insurers should be aware that CCIIO will likely be contacting each insurer in the next several weeks regarding this change in status. [CCIIO Final Determination December 21, 2011 (opens in new window)]
Insurers should make decisions they feel necessary in order to comply with the federal and state standards. Please contact Susan Ezalarab, Director, Bureau of Market Regulation, or J.P. Wieske, Legislative Liaison, regarding questions or concerns. The OCI will be providing guidance on grievance and independent review processes in the near future.
Should you have any questions or comments, please contact Colodny Fass.