Section 65-7 - Reporting Requirements (a) All reporting requirements shall be submitted annually by March 1 every year through SERFF, and are subject to the applicable SERFF filing fees.
(b) Annual Network Report. - (i) An insurer shall file with the Wyoming Department of Insurance an updated network provider directory on an annual basis.
- (ii) The directory at a minimum must list providers specialties, locations of providers, acceptance of new patient status, the total unduplicated providers, and the total number of essential community providers. If the network has under thirty percent (30%) of the essential community providers available in Wyoming, the insurer must give a narrative justification describing how the provider network(s) provides an adequate level of service for low-income and medically underserved enrollees.
- (iii) The Wyoming insurance commissioner may terminate an insurers ability to issue out-of-state health insurance policies in Wyoming should the network not meet the network adequacy standards set forth in this regulation.
- (iv) The Wyoming insurance commissioner may terminate an insurers ability to issue out-of-state health insurance policies in Wyoming should the insurer fail to file an annual network report pursuant to the Commissioners authority to establish network provider requirements as authorized under W.S. § 26-18-302(a)(vii).
(c) Annual Rating Report - (i) An insurer shall file with the Wyoming Department of Insurance a rating report on an annual basis.
- (ii) The rating report at a minimum must list every product sold in Wyoming pursuant to W.S. W.S. 26-18-301, et seq., the rates of each product sold in Wyoming, and the rates of each product sold in the domicile state. Should the rate of any products sold in Wyoming exceed ten percent (10%) of the cost of the same product sold in the domicile state, the insurer must attach a narrative explaining the difference in rate.
044-65 Wyo. Code R. § 65-7