§ 609.001 Joint ventures; legislative findings
§ 609.01 Definitions
§ 609.03 Indication of operations
§ 609.05 Primary provider and referrals
§ 609.10 Standard plan and point-of-service option plan required
§ 609.17 Reports of disciplinary action
§ 609.20 Rules for preferred provider and defined network plans
§ 609.205 Public health emergency for COVID-19
§ 609.22 Access standards
§ 609.24 Continuity of care
§ 609.30 Provider disclosures
§ 609.32 Quality assurance
§ 609.34 Clinical decision-making; medical director
§ 609.35 Applicability of requirements to preferred provider plans
§ 609.36 Data systems and confidentiality
§ 609.38 Oversight
§ 609.60 Optometric coverage
§ 609.65 Coverage for court-ordered services for the mentally ill
§ 609.655 Coverage of certain services provided to dependent students
§ 609.70 Chiropractic coverage
§ 609.71 Disclosure of payments
§ 609.715 Coverage of alcoholism and other diseases
§ 609.717 Mental health services provided by a recovery charter school
§ 609.75 Adopted children coverage
§ 609.755 Coverage of dependents
§ 609.76 Coverage of student on medical leave
§ 609.77 Coverage of breast reconstruction
§ 609.78 Coverage of treatment for the correction of temporomandibular disorders
§ 609.79 Coverage of hospital and ambulatory surgery center charges and anesthetics for dental care
§ 609.80 Coverage of mammograms
§ 609.805 Coverage of contraceptives
§ 609.81 Coverage related to HIV infection
§ 609.82 Coverage without prior authorization for emergency medical condition treatment
§ 609.83 Coverage of drugs and devices
§ 609.837 Copayment equality for oral and injected chemotherapy
§ 609.84 Experimental treatment
§ 609.846 Discrimination based on COVID-19 prohibited
§ 609.85 Coverage of lead screening
§ 609.86 Coverage of hearing aids, cochlear implants, and related treatment for infants and children
§ 609.87 Coverage of treatment for autism spectrum disorders
§ 609.875 Coverage of colorectal cancer screening
§ 609.88 Coverage of immunizations
§ 609.885 Coverage of COVID-19 testing
§ 609.89 Written reason for coverage denial
§ 609.90 Restrictions related to domestic abuse
§ 609.91 Restrictions on recovering health care costs
§ 609.92 Hospitals, individual practice associations and providers of physician services
§ 609.925 Election to be subject to restrictions
§ 609.93 Scope of election by an individual practice association or clinic
§ 609.935 Notices of election and termination
§ 609.94 Summary of restrictions
§ 609.95 Minimum covered liabilities
§ 609.96 Initial capital and surplus requirements
§ 609.97 Compulsory and security surplus
§ 609.98 Special deposit

Terms Used In Wisconsin Statutes > Chapter 609 - Defined network plans

  • Acquire: when used in connection with a grant of power to any person, includes the acquisition by purchase, grant, gift or bequest. See Wisconsin Statutes 990.01
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Devise: To gift property by will.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Following: when used by way of reference to any statute section, means the section next following that in which the reference is made. See Wisconsin Statutes 990.01
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Heretofore: means any time previous to the day on which the statute containing it takes effect; "hereafter" means the time after the statute containing such word takes effect. See Wisconsin Statutes 990.01
  • in writing: includes any representation of words, letters, symbols or figures. See Wisconsin Statutes 990.01
  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Officers: when applied to corporations include directors and trustees. See Wisconsin Statutes 990.01
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Person: includes all partnerships, associations and bodies politic or corporate. See Wisconsin Statutes 990.01
  • Plaintiff: The person who files the complaint in a civil lawsuit.
  • Preceding: when used by way of reference to any statute section, means the section next preceding that in which the reference is made. See Wisconsin Statutes 990.01
  • Promulgate: when used in connection with a rule, as defined under…. See Wisconsin Statutes 990.01
  • Property: includes real and personal property. See Wisconsin Statutes 990.01
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Qualified: when applied to any person elected or appointed to office, means that such person has done those things which the person was by law required to do before entering upon the duties of the person's office. See Wisconsin Statutes 990.01
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Service of process: The service of writs or summonses to the appropriate party.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: when applied to states of the United States, includes the District of Columbia, the commonwealth of Puerto Rico and the several territories organized by Congress. See Wisconsin Statutes 990.01
  • Statute: A law passed by a legislature.
  • Temporary restraining order: Prohibits a person from an action that is likely to cause irreparable harm. This differs from an injunction in that it may be granted immediately, without notice to the opposing party, and without a hearing. It is intended to last only until a hearing can be held.
  • Town: may be construed to include cities, villages, wards or districts. See Wisconsin Statutes 990.01
  • United States: includes the District of Columbia, the states, the commonwealth of Puerto Rico and the territories organized by congress. See Wisconsin Statutes 990.01
  • Village: means incorporated village. See Wisconsin Statutes 990.01
  • Year: means a calendar year, unless otherwise expressed; "year" alone means "year of our Lord". See Wisconsin Statutes 990.01