Bulletin, August 15, 1996, Form Filing Changes

Last Updated: December 5, 2000

Date: August 15, 1996
To: All Insurers Authorized to Transact Business in Wisconsin
From: Josephine W. Musser, Commissioner of Insurance
Subject: Form Filing Changes


​We have revised some of the Class, Coverage, and Type of Filing codes used in the transmittal information you submit with your form filings. The codes affect what you enter into columns #8, #9, and #10 of the Insurance Form Listing [OCI 26-015]. A summary of all valid codes is listed below. INSURERS SHOULD START USING THE NEW CODES IMMEDIATELY.

If you have any questions concerning these changes, please contact Jennifer Harris (608) 266-3709 or Katherine Childs (608) 264-6231.

PROPERTY & CASUALTY

The main change to the property and casualty two-digit class number is the new distinction between coverages for personal and commercial classes. The previous Motor Vehicle class of "10" and the Property and Casualty Miscellaneous class of "90" are now split into two categories, personal lines (classes "10" and "90") and commercial lines (classes "15" and "95"). Also, the second digit of the class code (column #8) ends in "5" for all commercial coverages and "0" for personal lines coverages. Other changes consist of:

  • Garage Liability is relocated to Liability "65" from the previous Motor Vehicle "10."
  • Owners, landlords & tenants coverage is listed under Commercial Property "25" as well as Homeowner and Farm Owner "30."
  • Condominium coverage is listed under Homeowner and Farm Owner "30."
  • A Wisconsin worker's compensation pool class is added under Worker's Compensation "75."
    (Since insurers do not file worker's compensation forms in Wisconsin, the 75 WCP and 75 WWP codes are used only by the Wisconsin Compensation Rating Bureau.)
  • In the miscellaneous coverages, some coverages were eliminated (All-Terrain Vehicle, Snowmobile, and Windstorm) and some were added (Pet Health, Recreation Vehicle, Rust Proofing, Travel/Accident, and Excess Managed Care).

LIFE & HEALTH

The changes to the health and life coverage codes consist of:

  • The elimination of coverage codes "OIB," "VUL," and "IWL" in the Individual Life section, and the coverage code "VUL" in the Group Life section.
  • Instead of a single category for annuities, there is now coverage class "43" for Individual Annuities and coverage class "44" for Group Annuities ("44" previously was used for Credit Life which has been changed to "45").
  • Credit Life "45" and Credit Accident & Health "55" include new coverage codes "ALL" for forms used with all credit categories, and "RAT" for rates.
  • Coverage codes "MSB," "MSM," and "MST" have been eliminated from the Individual Accident & Health section, while stop-loss coverage codes "51STL" and "54STL" have been changed to new coverage class "97STL."
  • In the Group Accident & Health section, coverage codes "BAO," "BGN," "BHI," "BHS," "BMM," and "BSP" (blanket policies) have been combined into one new code "BKT."
  • New coverage codes have been added to the Health Maintenance Organization section "56" and the Preferred Provider section "57." They are conversion - "CVN," group/long-term care - "GLT," group/Medicare Cost - "GMC," individual/dental - "IDT," individual/long-term care - "ILT," and individual/Medicare Cost - "IMC." In addition, group dental codes "56DTL" and "57DTL" have changed to "56GDT" and "57IDT," respectively.
  • A new coverage code for Point-of-Service Plans "57POS" has been added to the Preferred Provider section, and new coverage codes for group and individual chiropractic plans "58GCP" and "58ICP" have been added to the Limited Service Health Organization section.
  • Coverage class "97," Health & Life Miscellaneous, is new and includes coverage codes for continuing care retirement community - "CCR," excess managed care coverage - "EMC," stop-loss - "STL," and other - "OTH."

TYPE OF FILING

The codes for Type of Filing (column #10) are also revised. The changes include a new code "C" for a Certificate, a new code "N" for a Notice, and a revision of code "R" for Rider/Endorsement/Amendment which now includes endorsements. The previous code "E" for Endorsement/Amendment has been eliminated.


CERTIFICATE OF COMPLIANCE (see Ins. 6.05, Wis. Adm. Code, Appendix A)

INFORMATION ABOUT CERTIFYING READABILITY (see Ins. 6.07 (6), Wis. Adm. Code, for instructions)

Below is a link to the Wisconsin Revisor of Statutes Web site containing Wisconsin Administrative Code for the Commissioner of Insurance. Choose Ins 6 General to view s. Ins 6.05, Wis. Adm. Code (Filing of Insurance Forms) and s. Ins 6.07, Wis. Adm. Code (Insurance Policy Language Simplification).

Wisconsin Administrative Code, Commissioner of Insurance


10 PERSONAL MOTOR VEHICLE
Column #8
Coverage
Class
Column #9
Coverage
Code
10
10
10
10
10
10
10
10
10
10
ATA
ALI
AMP
MTH
MCY
OTH
APD
PPA
UIM
AUM
Antique automobile
Liability
Medical payment
Motor home
Motorcycle
Personal motor vehicle, other
Physical damage
Private passenger auto
Underinsured motorist
Uninsured motorist

15 COMMERCIAL MOTOR VEHICLE
Column #8
Coverage
Class
Column #9
Coverage
Code
15
15
15
15
15
15
15
15
15
15
ATA
CAU
OTH
ALI
LHT
AMP
MTH
APD
UIM
AUM
Antique automobile
Commercial automobile (taxi, fleet, ambulance, etc.)
Commercial motor vehicle, other
Liability
Long-haul truck
Medical payment
Motor home
Physical damage
Underinsured motorist
Uninsured motorist

25 COMMERCIAL PROPERTY
Column #8
Coverage
Class
Column #9
Coverage
Code
25
25
25
25
25
25
ALL
BOP
CFA
CMP
OTH
OLT
All coverages listed in class 25
Business owners policy
Commercial fire & allied
Commercial multi-peril
Commercial property, other
Owners, landlords & tenants

30 HOMEOWNER AND FARM OWNER
Column #8
Coverage
Class
Column #9
Coverage
Code
30
30
30
30
30
30
30
30
30
ALL
CON
FRO
HOM
OTH
MHO
PPD
REN
OLT
All coverages listed in class 30
Condominium
Farm/ranch owner
Home owner
Homeowner/farmowner, other
Mobile homeowner
Personal property/dwelling
Renter
Owners, landlords & tenants

41 INDIVIDUAL LIFE
Column #8
Coverage
Class
Column #9
Coverage
Code
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
ADB
ADD
ACD
ALL
ANF
DIN
END
GUI
HHC
OTH
CHB
FAB
SPB
LAS
LTC
NUR
TER
JTE
UNL
VAL
WAP
PAW
WHL
JWL
Accelerated death benefit
Accidental death and disability benefit
Accidental death benefit
All lines listed in class 41 excluding VAL
Annuity fund rider
Disability income benefit
Endowment
Guaranteed insurability benefit
Home health care
Individual life, other
Insurance benefit/children
Insurance benefit/family
Insurance benefit/spouse
Last survivor life
Long-term care
Nursing home
Term life
Term life/joint
Universal life
Variable life
Waiver of premium benefit
Waiver of premium benefit/payer
Whole life
Whole life/joint

42 GROUP LIFE
Column #8
Coverage
Class
Column #9
Coverage
Code
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
ADB
ADD
ACD
ALL
DIN
END
OTH
HHC
CHB
FAB
SPB
LTC
NUR
TER
UNL
VAL
WAP
PAW
WHL
Accelerated death benefit
Accidental death and disability benefit
Accidental death benefit
All coverages listed in class 42 excluding VAL
Disability income benefit
Endowment
Group life, other
Home health care
Insurance benefit/children
Insurance benefit/family
Insurance benefit/spouse
Long-term care
Nursing home
Term life
Universal life
Variable life
Waiver of premium benefit
Waiver of premium benefit/payer
Whole life

43 ANNUITY
Column #8
Coverage
Class
Column #9
Coverage
Code
43
43
43
43
43
43
43
43
ALL
OTH
IFD
IFL
IIM
ISD
VIA
IRA
All coverages listed in class 43 excluding VIA
Annuity, other
Individual/fixed premiums deferred annuity
Individual/flexible premium deferred annuity
Individual/immediate annuity
Individual/single premium deferred annuity
Individual/variable annuity
Tax-related annuity (IRA)

44 GROUP ANNUITY
Column #8
Coverage
Class
Column #9
Coverage
Code
44
44
44
44
44
44
44
44
ALL
OTH
GDA
GFD
GFL
GIM
GSD
VGA
All coverages listed in class 44 excluding VGA
Annuity, other
Group deposit administration
Group/fixed premium deferred annuity
Group/flexible premium deferred annuity
Group/immediate annuity
Group/single premium deferred annuity
Group/variable annuity

45 CREDIT LIFE
Column #8
Coverage
Class
Column #9
Coverage
Code
45
45
45
45
45
45
45
ALL
OTH
GMT
GMP
GSP
GST
RAT
All coverages listed in class 45
Credit life, other
Group/monthly O.B. life - truncated benefit
Group/monthly premium life
Group/single premium life
Group/single premium life - truncated benefit
Rates

51 INDIVIDUAL ACCIDENT & HEALTH
Column #8
Coverage
Class
Column #9
Coverage
Code
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
51
AON
ADD
ALL
CAN
CVN
DTL
DIN
FRC
HHC
HIN
HSM
OTH
LTC
MAM
MDC
MER
MDS
MSP
NUR
PHC
SPD
TAC
VOC
WAP
Accident only
Accidental death and dismemberment
All coverages listed in class 51
Cancer
Conversion
Dental
Disability income
Franchise
Home health care
Hospital indemnity
Hospital-surgical-medical
Individual accident and health, other
Long-term care
Major medical
Medicare cost
Medicare risk
Medicare select
Medicare supplement
Nursing home
Pharmaceutical
Specified (dread) disease
Travel/accident
Vision
Waiver of premium

54 GROUP ACCIDENT & HEALTH
Column #8
Coverage
Class
Column #9
Coverage
Code
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
54
AON
ADD
ALL
BKT
CAN
DTL
DIN
OTH
HC
HIN
HSM
LTC
MAM
MDC
MER
MDS
MSP
NUR
PHC
SPD
SSA
SSM
TAC
VOC
WAP
Accident only
Accidental death and dismemberment
All coverages listed in class 54
Blanket
Cancer
Dental
Disability income
Group accident & health, other
Home health care
Hospital indemnity
Hospital-surgical-medical
Long-term care
Major medical
Medicare cost
Medicare risk
Medicare select
Medicare supplement
Nursing home
Pharmaceutical
Specified (dread) disease
Student/accident
Student/school medical
Travel/accident
Vision
Waiver of premium

55 CREDIT ACCIDENT & HEALTH
Column #8
Coverage
Class
Column #9
Coverage
Code
55
55
55
55
55
55
55
ALL
OTH
GMT
GMP
GSP
GST
RAT
All lines listed in class 55
Credit accident & health, other
Group/monthly O.B. premium - A&H truncated benefit
Group/monthly premium A&H
Group/single premium A&H
Group/single premium A&H truncated benefit
Rates

56 HEALTH MAINTENANCE ORGANIZATION (HMO)
Column #8
Coverage
Class
Column #9
Coverage
Code
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
CVN
GAH
GDT
GHC
GLT
GMC
GMR
GMS
GNH
OTH
IAH
IDT
IHC
ILT
IMC
IMR
IMS
INH
PHC
POS
VCO
Conversion
Group/accident & health
Group/dental
Group/home health care
Group/long-term care
Group/Medicare cost
Group/Medicare risk
Group/Medicare select
Group/nursing home
HMO, other
Individual/accident & health
Individual/dental
Individual/home health care
Individual/long-term care
Individual/Medicare cost
Individual/Medicare risk
Individual/Medicare select
Individual/nursing home
Pharmaceutical
Point of service
Vision

57 PREFERRED PROVIDER PLAN PPP
Column #8
Coverage
Class
Column #9
Coverage
Code
57
57
57
57
57
57
57
57
57
57
57
57
57
57
57
57
57
57
57
57
GAH
GDT
GHC
GLT
GMC
GMR
GMS
GNH
IAH
IDT
IHC
ILT
IMC
IMR
IMS
INH
PHC
POS
OTH
VCO
Group/accident & health
Group/dental
Group/home health care
Group/long-term care
Group/Medicare cost
Group/Medicare risk
Group/Medicare select
Group/nursing home
Individual/accident & health
Individual/dental
Individual/home health care
Individual/long-term care
Individual/Medicare cost
Individual/Medicare risk
Individual/Medicare select
Individual/nursing home
Pharmaceutical
Point of service
PPP, other
Vision

58 LIMITED SERVICE HEALTH ORGANIZATION (LSHO)
Column #8
Coverage
Class
Column #9
Coverage
Code
58
58
58
58
58
58
58
58
58
GCP
GDT
GMN
GVC
ICP
IDT
IMN
IVC
0TH
Group/chiropractic
Group/dental
Group/mental and nervous
Group/vision
Individual/chiropractic
Individual/dental
Individual/mental and nervous
Individual/vision
LSHO, other

65 LIABILITY
Column #8
Coverage
Class
Column #9
Coverage
Code
65
65
65
65
65
65
65
65
65
65
65
65
65
CEX
CUM
CTL
DOS
EOM
GAR
GEN
OTH
LIQ
MML
NUC
PPL
PRO
Commercial excess
Commercial umbrella
Contractual
Directors and officers
Errors and omissions
Garage
General
Liability, other
Liquor
Medical malpractice
Nuclear
Pollution-legal
Professional

75 WORKER'S COMPENSATION (RSO Only)
Column #8
Coverage
Class
Column #9
Coverage
Code
75
75
WCP
WWP
Worker's compensation
Wisconsin worker’s comp pool

85 BONDS
Column #8
Coverage
Class
Column #9
Coverage
Code
85
85
FID
SUR
Fidelity
Surety

90 PERSONAL PROPERTY & CASUALTY MISCELLANEOUS
Column #8
Coverage
Class
Column #9
Coverage
Code
90
90
90
90
90
90
90
90
90
90
90
90
90
90
90
90
90
90
AVI
BOT
CRU
CRI
FLO
MBI
MTG
MCS
PEX
PIM
OTH
PET
RVS
RST
TTL
TAC
VSC
WPS
Aviation/aircraft
Boat owner
Credit unemployment
Crime
Flood
Mechanical breakdown
Mortgage guaranty
Motor club
Personal excess umbrella
Personal inland marine
Personal P&C misc., other
Pet health
Recreational vehicle (ATV, jet ski, snowmobile, etc.)
Rust proofing
Title
Travel/Accident
Vehicle service contract
Warranty plan

95 COMMERCIAL PROPERTY & CASUALTY MISCELLANEOUS
Column #8
Coverage
Class
Column #9
Coverage
Code
95
95
95
95
95
95
95
95
95
95
95
95
95
95
95
95
AVI
BAM
BOT
CPL
CIM
OTH
CRP
CRI
CHL
EMC
FLO
GLA
LEX
LSM
MTG
TTL
Aviation/aircraft
Boiler/machinery
Boat owner
Collateral protection
Commercial inland marine
Commercial P&C misc., other
Credit property
Crime
Crop/hail
Excess manage care
Flood
Glass
Legal expense
Livestock mortality
Mortgage guaranty
Title

97 HEALTH & LIFE MISCELLANEOUS
Column #8
Coverage
Class
Column #9
Coverage
Code
97
97
97
97
CCR
EMC
OTH
STL
Continuing care retirement community
Excess managed care
Health & Life Misc., other
Stop loss

YPE OF FILING (For Column #10 on the Transmittal)
A=Application
B=Binder
C=Certificate
D=Declaration/Schedule/Data Page
I=Informational Filing
J=Jacket
M=Matrix
N=Notice
O=Outline of Coverage
P=Policy
R=Rider/Endorsement/Amendment
S=Single Page