Long-Term Care Reporting Forms

​​​​Last Updated: April 16, 2024

Procedure to Submit Required Annual Market Regulatory Reports to O​​CI

The following reporting forms are required to be filed with the Office of the Commissioner of Insurance (OCI) annually for all insurers that had long-term care business in force in Wisconsin during the previous calendar year:

Form Number Description Reference Due Date
26-301 Long-term Care Experience Exhibit s. Ins 3.455 (6), Wis. Adm. Code April 1
26-301H Hybrid Long-term Care Experience Exhibit s. Ins 3.455 (6), Wis. Adm. Code April 1
26-304 Long-term Care Benefit Appeals s. Ins 3.55 (5), Wis. Adm. Code March 31
26-304H Hybrid Long-term Care Benefit Appeals s. Ins 3.55 (5), Wis. Adm. Code March 31
26-305 Long-term Care Claim Denials s. Ins 3.46 (21) (f), Wis. Adm. Code June 30
26-306 Long-term Care Replacement & Lapse s. Ins 3.46 (21) (b), Wis. Adm. Code June 30
26-307 Long-term Care Rescissions s. Ins 3.46 (10) (b) and (j), Wis. Adm. Code March 1
26-307H Hybrid Long-term Care Rescissions s. Ins 3.46 (10) (b) and (j), Wis. Adm. Code March 1
26-308 Long-term Care Suitability s. Ins 3.46 (16) (h), Wis. Adm. Code June 30

NOTE: Long-term care riders attached to a life or annuity product are considered hybrid long-term care.

OCI has an online interface for insurance companies to interact with the Wisconsin Market Regulatory Reports and Forms application.

The insurer's Wisconsin Market Regulatory Reports and Forms​ Security Administrator/Forms Administrator will assign the required long-term care reporting forms to staff for completion. The forms are completed utilizing the online Wisconsin Market Regulatory Reports and Forms application.

For information ​regarding the Wisconsin Market Regulatory Reports and Forms application, please reference the Market Regulatory Reports Online User Manual.

Market Regulatory Reports Onli​ne User Manual - opens in new window

For any questions, please email ocimrreports@wisconsin.gov. The email should include the company's legal name and NAIC company number.

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