Wisconsin Statutes Insurance (Ch. 600 to 655) § 609.20. Rules for preferred provider and defined network plans

(a) To ensure that enrollees are not forced to travel excessive distances to receive health care services.

(b) To ensure that the continuity of patient care for enrollees meets the requirements under s. 609.24.

(c) To define substantially equivalent coverage of health care expenses for purposes of s. 609.10(1)(am).

(d) To ensure that employees offered a health maintenance organization or a preferred provider plan that provides comprehensive services under s. 609.10(1)(am) are given adequate notice of the opportunity to enroll, as well as complete and understandable information under s. 609.10(1)(c) concerning the differences among the health maintenance organization or preferred provider plan, the standard plan and the point-of-service option plan, as defined in s. 609.10(1)(ac), including differences among providers available and differences resulting from special limitations or requirements imposed by an institutional provider because of its affiliation with a religious organization.