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Wisconsin · Through 2023-24 Wisconsin Statutes updated through 2025 Wis. Act 247 (published 9-4-26)

Wis. Stat. § 632.857: Explanation required for restriction or termination of coverage.

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Where this section sits in the code
  1. Chs. 600-655, Insurance
  2. Chapter 632 Insurance Contracts In Specific Lines
  3. 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

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