CMP.6.6.040 Department Forms and Records
The Lac Courte Oreilles Insurance Office shall print and furnish free to any Employee such blank forms as it shall deem requisite to facilitate efficient administration of this Ordinance; it shall keep such record books or records as it shall deem requisite for the proper and efficient administration of the Ordinance.
Records maintained that reveal the identity of an Employee who claims worker's compensation benefits, nature of claimed injury, past or present medical condition, extent of disability, amount, type or duration of benefits paid to the Employee or any financial information provided to the Plan Administrator or Claims Administrator/Managed Care Provider is confidential and not open for inspection. The Plan Administrator may deny a request made or refuse to honor a subpoena issued by an attorney of record in a civil or criminal action or special proceeding to inspect and copy a record that is confidential under this paragraph, unless one of the following applies:
(a) The Employee who is the subject of the record or an attorney or authorized agent of that Employee makes a written request. An Attorney or authorized agent of the Employee who is subject of a record shall provide a written authorization for inspection and copying from the Employee if requested by the Plan Administrator or Claims Administrator/Managed Care Provider for use pursuant to this Ordinance.
(b) A court of competent jurisdiction orders the Plan Administrator or Claims
Administrator/Managed Care Provider to release the record.
(c) The requester is the subunit of the department that administers child support and spousal support or a county child support agency under Wis. Stat S59.53 (5), the request is made under the Wis. Stat S. 49.22 (2m) and the request is limited to the name and address of the Employee who is the subject of the record, the name and address of the Employee's Employer and any financial information about the Employee contained in the record.
(d) The Federal or State Department of Revenue requests the record for the purpose of locating a person, who has failed to file tax returns, who has under reported taxable income or who is a delinquent taxpayer, identifying fraudulent tax returns; or providing information for tax-related prosecutions.