Wis. Stat. § 632.857: Explanation required for restriction or termination of coverage.
Where this section sits in the code
- Chs. 600-655, Insurance
- Chapter 632 Insurance Contracts In Specific Lines
- SUBCHAPTER VI DISABILITY INSURANCE
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.
Collected 2026-09-05T12:01:32Z. Source file · JSON