Last Updated: November 15, 2016
Where Can I Find Health Insurance Information?
The Office of the Commissioner of Insurance (OCI) provides a number of publications to guide consumers looking for information related to health insurance. These publications are updated regularly and can help consumers make informed decisions regarding their health coverage. A list of health publications can be found on the
Consumer Publications list. You will find information on long-term care, Medicare supplement, worker's compensation, managed care plans (HMOs and limited service health organizations), as well as filing grievances and complaints.
The publications can be printed. You will find a link to a publication order form if you prefer a hard copy.
Federal Health Care Reform
Per federal regulation all health insurance plans in the individual market are "guaranteed available" to consumers during an annual open enrollment period. You and your family may or may not be eligible for health insurance coverage from all companies listed in your county depending on your address. For more information you should contact (1) the health insurance companies listed for your county in the Health Insurer Map below, (2) your licensed insurance agent, or (3) the
Federally Facilitated Market Place (FFM). Please note that if you are eligible for subsidies from the federal government these can only be accessed by applying for coverage through the FFM. See the
Health Care Reform page for additional information.
Find Health Insurer
The
Health Insurer Map is a record of health insurance companies' marketing practices as reported to the Office of the Commissioner of Insurance in rate filings. Inclusion on this list is NOT an implicit or explicit endorsement by OCI.
2017 Health Care Insurance Town Hall Presentation
OCI held informational sessions across Wisconsin in an effort to provide a forum for citizens to gather information on the Affordable Care Act (ACA), 2017 open enrollment and "auto re-enrollment."
Copy of the Presentation
Comprehensive Health Insurance Rates
Information about health insurance rate changes already on file with our office is available using OCI's
Policy Form and Rate/Rule Filing Search feature. Comments and/or questions about health insurance rate increases can be e-mailed to
OCIHealthRates@wisconsin.gov.
Note: The average health insurance rate increase information included in health insurance filings is required by the U.S. Department of Health and Human Services to be included in all health insurer rate filings. OCI has concerns that the information required to be posted will be confusing to consumers. The rate increase information is calculated by using a weighted average based on a geographic distribution of plans and, as a result, has little relationship to an increase in any consumer's actual premium rate.
Lists of rate filings that were subject to rate review in Wisconsin are provided below. The lists are organized by the calendar year of the rate filing's effective date. A justification for each rate filing can be accessed by visiting
https://ratereview.healthcare.gov/.
This federal Web site allows consumers to search for rate filings by (1) state and (2) company name. Please note that the federal Web site may not be supported by certain Internet browsers.
Health Maintenance Organization Quality and Consumer Satisfaction Data
In Wisconsin, Health Maintenance Organizations (HMOs) are required to develop quality assurance plans to monitor the quality of the health care that their members receive. HMOs are required to submit to the Office of the Commissioner of Insurance a report every year that includes a sample of this data. See the
HMO Quality and Consumer Satisfaction Data page for further information.
