Last Updated: April 13, 2016
General Claims Information
As of June 30, 2015, there have been a total of 6,036 claims filed in which the Injured Patients and Families Compensation Fund (Fund) was named. 673 claims have been paid totaling approximately $862 million. 5,228 claims were closed without payment. The Fund has made a payment on 11.3% of all claims filed in which the Fund was named.
The Fund contracts with an outside vendor to manage claims adjudication.
There have been 80 attorney hires during fiscal year 2014 and 44 attorney hires during fiscal year 2015. Cases in which the Fund counsel may take an active role include:
- Multiple defendants
- Cases in which the primary carrier has tendered their policy limit and the tender has been accepted
- Significant issues or special circumstances
- Issues that may have a far reaching impact to the Fund or where it has been deemed important for the Fund and to ensure legal continuity
The Board of Governors (Board) has delegated authority to the Claims Committee (Committee) to oversee issues involving claims. The responsibility of the Committee is to establish claims policies and procedures for the Fund and the
Wisconsin Health Care Liability Insurance Plan.
The Committee makes recommendations to the Board regarding claim handling policies and procedures. The Committee in turn has delegated claim handling authority to the vendor contracted via the State's competitive bid process. The vendor performs the day-to-day monitoring of cases and reports on a quarterly basis to the Committee. The Committee reviews and provides prior authorization for claim settlement on claims in excess of stated limits.
Contact DuWayne Kottwitz at 608-266-0953 or
firstname.lastname@example.org for more information on the Fund's claim process.