648.15 Reports and replies.

381 words·~2 min read·/wi/chapter-648/648-15-3

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(1)Reports. The commissioner may require from any care management organization any of the following:

(a)Statements, reports, answers to questionnaires, and other information in whatever reasonable form the commissioner designates and at such reasonable intervals as the commissioner chooses, or from time to time.

(b)Full explanation of the programming of any data storage or communication system in use.

(c)Information from any books, records, electronic data processing systems, computers, or any other information storage system at any reasonable time in any reasonable manner.

(d)Statements, reports, audits, or certification from a certified public accountant or an actuary approved by the commissioner.

(2)Forms. The commissioner, after consulting with the department, may prescribe forms for the reports under sub.

(1)and specify who shall execute or certify such reports.

(3)Accounting methods. The commissioner, after consulting with the department, may prescribe reasonable minimum standards and techniques of accounting and data handling to ensure that timely and reliable information will exist and will be available to the commissioner.

(4)Replies. Any officer or manager of a care management organization, any person controlling or having a contract under which the person has a right to control a care management organization, whether exclusively or otherwise, or any person with executive authority over or in charge of any segment of such a care management organization’s affairs, shall reply promptly in writing or in another designated form, to any written inquiry from the commissioner requesting a reply.

(5)Verification. The commissioner may require that any communication made to the commissioner under this section be verified.

(6)Immunity. In the absence of actual malice, no person shall be subject to damages in an action for defamation based on a communication to the commissioner required by law under this chapter or by the commissioner under this chapter.

(7)Experts. The commissioner may employ experts to assist the commissioner in an examination or in the review of any transaction subject to approval under this chapter. The care management organization that is the subject of the examination, or that is a party to a transaction under review, including the person acquiring, controlling, or attempting to acquire the care management organization, shall pay the reasonable costs incurred by the commissioner for the expert and related expenses.