1. The insurance entity paid the claim for health care costs under a disability insurance policy issued by the insurance entity.
2. The insurance entity is not obligated to pay the health care costs under the express terms of the disability insurance policy because the claim arose out of, or in the course of, the claimant's employment.
3. The claim is covered by a worker's compensation insurance policy and would otherwise be an eligible claim under this section.
170,35
Section
35. 646.33 (3) of the statutes is renumbered 646.33 (3) (a).
170,36
Section
36. 646.35 (4) (a) of the statutes is renumbered 646.35 (4).
170,37
Section
37. 646.35 (4) (b) of the statutes is renumbered 646.33 (3) (b).
170,38
Section
38. 646.35 (6) (c) 1. (intro.) and b. of the statutes are consolidated, renumbered 646.35 (6) (c) 1. and amended to read:
646.35 (6) (c) 1. Any benefit payment liability, arising on or after the date of entry of the order of liquidation, to the extent that the rate of interest on which it is based or the interest rate, crediting rate, or similar factor determined by use of an index or other external reference stated in the policy or contract and employed in calculating returns or changes in value exceeds the smaller of the following: b. The rate of interest, which may not be less than zero, determined by subtracting 3 percentage points from the monthly corporate bond yield average, as most recently published by Moody's investors service or its successor.
170,39
Section
39. 646.35 (6) (c) 1. a. of the statutes is repealed.
170,40
Section
40. 646.35 (6) (c) 2. (intro.) and b. of the statutes are consolidated, renumbered 646.35 (6) (c) 2. and amended to read:
646.35 (6) (c) 2. Any benefit payment liability, arising before the date of entry of the order of liquidation, to the extent that the payment exceeds the smaller of the following: b. The rate of interest, which may not be less than zero, determined by subtracting 2 percentage points from the monthly corporate bond yield average, as published by Moody's investors service or its successor, when averaged over the 4-year period ending on the date of entry of the order of liquidation or averaged over such lesser period if the contract was issued less than 4 years before that date.
170,41
Section
41. 646.35 (6) (c) 2. a. of the statutes is repealed.
170,42
Section
42. 646.51 (3) (am) (intro.) of the statutes is amended to read:
646.51 (3) (am) General. (intro.) Except as provided in par. pars. (b) and (c), assessments shall be calculated as follows:
170,43
Section
43. 646.51 (3) (b) of the statutes is created to read:
646.51 (3) (b) Life and health. Except as provided in par. (c), with respect to annuity contracts or life or disability insurance policies, including policies issued by health maintenance organizations, assessments shall be calculated as a percentage of average annual premium received in this state by each insurer in the classes protected by the accounts for the 3 most recent years preceding the year of the entry of the order of liquidation.
170,44
Section
44. 646.51 (4) (a) of the statutes is amended to read:
646.51 (4) (a) Subject to pars. (b) and (d), the total of all assessments for an amount authorized by the board under this section with respect to an insurer may not, in one calendar year, exceed 2% 2 percent of the insurer's average annual assessable premiums
received in this state, during the 3 calendar years preceding the year of entry of the order of liquidation, under sub. (3) (am) or (b) on the types of policies and contracts that are covered by the account.
[
2003 Wisconsin Act 261] Section 162 (1)
Insurance security fund.
(a) The treatment of sections 609.98 (1) and (4) (a) and (b), 645.58 (1) (intro.), 646.01 (1) (a) 2. k. and L. and (b) 1., 9. (intro.), a., b., c., and d., 11., 11m., 15., 16., and 17., and 18., 646.03 (1m), (2n), (2p), (4), and (5), 646.12 (2) (d) and (f) 2. and 3. and (4), 646.13 (title), (1) (intro.) and (b), (2) (intro.), (b), (c), (d), and (g), (3) (intro.), (a), (b), and (c) (intro.) and 2., and (4), 646.15 (title) and (1) (a) (intro.), 1., 2., and 4., 646.16, 646.21 (2), 646.31 (1) (d) 10. and 11., (2) (a) 1. and 2., (b) 1., 2. (intro.), a., and b., and 3., (f) (title) and 2., and (g), (3), (5), (6) (a) and (b), (7), (8), (9) (a), (b), (c), (cm), and (d), and (11), 646.32 (1), 646.325 (1) and (2) (intro.), (a) (intro.), and (b), 646.33 (2), (2m) (b), and (3), 646.35 (2), (3) (title), (intro.) (except 646.35 (3) (title)), (a), (b), and (c), (5), (6) (a), (b), (bm), and (c) (intro.), 1. (intro.) and b., and 2. (intro.) and b., (7), (8), (9), and (10), 646.51 (1), (1c), (2), (3) (a) (title), 1., and 2., (am) 2., (b), and (c), (5), (6), (7) (a), (8), and (9) (b) 1. and 2., 646.60 (1) (a), 646.61 (2), and 646.73 of the statutes, the renumbering and amendment of sections 646.11 (1), 646.31 (10) and (13), 646.33 (1), 646.35 (4), and 646.51 (4) of the statutes, and the creation of sections 646.11 (1) (d) and (e), 646.31 (10) (b) and (13) (b), (c), and (d), 646.33 (1) (b), (c), and (d), 646.35 (4) (b), and 646.51 (4) (a), (b), and (d) of the statutes first apply to insurance company liquidations commenced or pending on the effective date of this paragraph.
(b) The treatment of section 646.01 (1) (b) 18. of the statutes first applies to liquidation proceedings in which a liquidation order is issued on the effective date of this subsection paragraph.
170,46
Section
46.
Nonstatutory provisions.
(1) Board of directors of insurance security fund. Notwithstanding section 646.12 (1) (a) of the statutes, as affected by this act, each insurer representative member of the board of directors of the insurance security fund who is serving on the effective date of this subsection shall continue in that capacity until he or she resigns or his or her term expires, whichever occurs first.
(2) Coverage of employers and plan sponsors. The treatment of section 600.03 (25) (a) 4. of the statutes, as created by this act, applies to coverage of employers and plan sponsors issued prior to, on, or after the effective date of this subsection.
170,47
Section
47
.
Initial applicability.
(1) Insurance security fund. The treatment of sections 646.13 (3) (d), 646.33 (3), 646.35 (4) (a) and (b) and (6) (c) 1. (intro.), a., and b. and 2. (intro.), a., and b., and 646.51 (3) (am) (intro.) and (b) and (4) (a) of the statutes, the renumbering and amendment of section 646.31 (11) of the statutes, and the creation of section 646.31 (11) (a) and (c) of the statutes first apply to insurance company liquidations commenced or pending on the effective date of this subsection.
(2) Restriction on property insurance. The treatment of section 632.07 of the statutes first applies to property insurance coverage required by a lender on the effective date of this subsection.
(3) Action to recover fees, taxes, and assessments. The treatment of section 76.68 (2) and (4) of the statutes first applies to fees, taxes, and assessments that are due and payable on the effective date of this subsection.
