Wis. Admin. Code Office of the Commissioner of Insurance Ins 57.01

Current through November 25, 2024

Section Ins 57.01 - Definitions

In addition to the definitions in s. 648.01, Stats., in this chapter:

(1) "Affiliate" of, or person "affiliated" with, a specific person means a person that directly or indirectly through one or more intermediaries, controls or is controlled by, or is under common control with, the person specified.

(2) "Care management organization" or "CMO" means an entity defined at s. 648.01(1), Stats.

(3) "Commissioner" means the commissioner of insurance of this state or the commissioner's designee.

(4) "Department" means the department of health services of this state.

(5) "Independent certified public accountant" means an independent certified public accountant, or independent accounting firm, in good standing with the American Institute of Certified Public Accountants in this state, and in the states in which the accountant or firm is licensed, or required to be licensed, to practice.

(6) "Net assets" means assets minus liabilities.

(7) "Restricted reserve" means liquid assets maintained in a segregated account by a care management organization.

(8) "Subsidiary" of a person means a person which is controlled, directly or indirectly through one or more intermediaries, by the first person.

(9) "Ultimate controlling person" means a person who is not controlled by any other person.

(10) "Work papers" means records kept by the independent certified public accountant of the procedures followed, the tests performed, the information obtained, and the conclusions reached pertinent to the independent certified public accountant's examination of the financial statements of a care management organization. "Work papers" includes audit planning documentation, audit guides, work programs, analyses, memoranda, letters of confirmation and representation, abstracts of company documents and schedules or commentaries prepared or obtained by the independent certified public accountant in the course of examination of the financial statements of a care management organization or which support the opinion of the independent certified public accountant regarding the financial statements.

(11) "Working capital" means a measure calculated as current assets minus current liabilities.

Wis. Admin. Code Office of the Commissioner of Insurance Ins 57.01

EmR0927: emerg. cr. eff. 10-10-09; CR 09-093: cr. Register May 2010 No. 653, eff. 6-1-10.