2005 - 2006 LEGISLATURE
March 10, 2005 - Introduced by Senators Leibham, Decker, A. Lasee, Kapanke,
Wirch, Breske, Hansen, Miller, Brown, Taylor, Zien and Lassa, cosponsored
by Representatives Towns, Vruwink, Ainsworth, Pettis, Gronemus, M.
Williams, Hubler, Musser, Kestell, Suder, Owens, Van Roy, Davis, Hines,
Hahn, Freese, Pope-Roberts, Bies, Berceau, Gunderson, Kreibich, Wood,
Seidel, Lamb, Petrowski, Nerison, Van Akkeren, Ott, Townsend, Albers and
Ballweg. Referred to Committee on Agriculture and Insurance.
1An Act to amend
40.51 (1); and to create
20.515 (1) (g) and 40.515 of the 2
statutes; relating to: the purchase of health care coverage through the Group
3Insurance Board by individuals who are engaged in the business of farming,
4granting rule-making authority, and making an appropriation.
Analysis by the Legislative Reference Bureau
Under current law, the Group Insurance Board, attached to the Department of
Employee Trust Funds (DETF), is required to contract on behalf of the state for the
purpose of providing health care coverage to state employees. Many other public
sector employers may also participate in programs offered by the Group Insurance
Board to provide health care coverage for their employees.
This bill provides that, beginning on January 1, 2006, any individual in this
state who is a resident of this state and who is engaged in the business of farming,
including any individual who is employed by a farm business, may elect to receive
coverage under any health care coverage plan offered to state employees by paying
to DETF the full cost of the required premiums. The bill also specifies several
conditions that any individual seeking health care coverage under the state plan
must meet and authorizes DETF to establish by rule preexisting condition exclusions
for individuals who elect to receive coverage under the state plan.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB108, s. 1
20.515 (1) (g) of the statutes is created to read:
(g) Benefit and coverage payments; private sector health care
All moneys received from individuals under s. 40.515 who elect to be 4
included in a health care coverage plan under s. 40.51 (6), for the payment of benefits 5
and the cost of administering benefits for the individuals.
SB108, s. 2
40.51 (1) of the statutes is amended to read:
The procedures and provisions pertaining to enrollment, premium 8
and coverage of eligible employees and individuals eligible for health
9care coverage under s. 40.515
for health care benefits shall be established by contract 10
or rule except as otherwise specifically provided by this chapter.
SB108, s. 3
40.515 of the statutes is created to read:
1240.515 Health care coverage for individuals who are engaged in the
13business of farming. (1)
In this section, "preexisting condition" means a condition, 14
whether physical or mental, regardless of the cause of the condition, for which 15
medical advice, diagnosis, care, or treatment was recommended or received within 16
the 6-month period immediately preceding the individual's election under sub. (2).
Beginning on January 1, 2006, any individual in this state, who is not 18
otherwise eligible for health care coverage under this subchapter, may elect coverage 19
under any health care coverage plan offered under s. 40.51 (6) subject to all of the 20
(a) The individual is a resident of this state and engages in the business of 2
farming, including specifically any individual who is employed by a farm business.
(b) The individual provides proof to the department that the individual has 4
been covered by a health insurance plan or policy for any period of time during the 5
previous 6 months before electing coverage under this section.
(c) The individual pays to the department the full cost of the required 7
(d) If the individual has terminated health care coverage under this section, the 9
individual may not again receive any health care coverage under this section for a 10
period of 12 months from the date of termination.
The department shall establish by rule preexisting condition exclusions for 12
individuals who elect to receive health care coverage under sub. (2), but any such 13
preexisting condition exclusion may not exceed the maximum period permitted 14
under s. 632.746.