Last Updated: February 6, 2019
Procedure to Submit Required Annual Market Regulatory Reports to OCI
The following reporting forms are required to be filed with the Office of the Commissioner of Insurance (OCI) annually by the indicated Due Date for all insurers that had Managed Care Plan business in force in Wisconsin during the previous calendar year:
|Form Number||Description||Reference||Due Date|
|26-109||Certification of Managed Care Plan Type||s. Ins 9.40 (8), Wis. Adm. Code||April 1|
|26-110||Certification of Access Standards||s. Ins 9.31 (1), Wis. Adm. Code||August 1|
|26-112||Certification of Preferred Provider Plan Same Service Provisions||s. Ins 9.25 (6), Wis. Adm. Code||April 1|
|26-904||Quality Assurance Form||s. Ins 9.40 (2), Wis. Adm. Code||April 1|
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 Managed Care Plan Certifications 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
For any questions, please e-mail
email@example.com. The e-mail should include the company's legal name and NAIC company number.