LRB-1151/1
TJD:ahe
2017 - 2018 LEGISLATURE
June 2, 2017 - Introduced by Representatives Riemer, Kolste, C. Taylor,
Anderson, Barca, Berceau, Billings, Bowen, Brostoff, Considine, Crowley,
Doyle, Fields, Genrich, Goyke, Hebl, Hesselbein, Hintz, Kessler, Mason,
Meyers, Milroy, Ohnstad, Pope, Sargent, Shankland, Sinicki, Spreitzer,
Stuck, Subeck, Vruwink, Wachs, Young, Zamarripa and Zepnick,
cosponsored by Senators Erpenbach, Johnson, Shilling, Bewley, Carpenter,
Hansen, Larson, Miller, Ringhand, Risser, L. Taylor, Vinehout and Wirch.
Referred to Committee on Insurance.
AB365,1,4 1An Act to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983
2(1) (intro.); and to create 609.845 and 632.883 of the statutes; relating to:
3prohibiting lifetime and annual limits under health insurance policies and
4plans.
Analysis by the Legislative Reference Bureau
This bill prohibits health insurance policies and plans, known in the bill as
disability insurance policies, and self-insured governmental health plans from
imposing a lifetime limit or an annual limit on the dollar value of benefits.
For further information see the state and local 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:
AB365,1 5Section 1. 40.51 (8) of the statutes is amended to read:
AB365,2,26 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
7shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
8and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,

1632.867, 632.87 (3) to (6), 632.883, 632.885, 632.89, 632.895 (5m) and (8) to (17), and
2632.896.
AB365,2 3Section 2. 40.51 (8m) of the statutes is amended to read:
AB365,2,74 40.51 (8m) Every health care coverage plan offered by the group insurance
5board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
6632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.883,
7632.885, 632.89, and 632.895 (11) to (17).
AB365,3 8Section 3. 66.0137 (4) of the statutes is amended to read:
AB365,2,15 966.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
10a village provides health care benefits under its home rule power, or if a town
11provides health care benefits, to its officers and employees on a self-insured basis,
12the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
13632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867,
14632.87 (4), (5), and (6), 632.883, 632.885, 632.89, 632.895 (9) to (17), 632.896, and
15767.513 (4).
AB365,4 16Section 4. 120.13 (2) (g) of the statutes is amended to read:
AB365,2,2017 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1849.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
19632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4), (5), and (6), 632.883, 632.885,
20632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB365,5 21Section 5. 185.983 (1) (intro.) of the statutes is amended to read:
AB365,3,422 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
23cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
24646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
25601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,

1631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85,
2632.853, 632.855, 632.867, 632.87 (2), (2m), (3), (4), (5), and (6), 632.883, 632.885,
3632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630,
4635, 645, and 646, but the sponsoring association shall:
AB365,6 5Section 6. 609.845 of the statutes is created to read:
AB365,3,7 6609.845 Lifetime and annual limits. Limited service health organizations,
7preferred provider plans, and defined network plans are subject to s. 632.883.
AB365,7 8Section 7. 632.883 of the statutes is created to read:
AB365,3,12 9632.883 Lifetime and annual limits. (1) No group or individual disability
10insurance policy, as defined in s. 632.895 (1) (a), and no self-insured health plan, as
11defined in s. 632.745 (24), may impose a lifetime limit on the dollar value of benefits
12provided under the policy or plan.
AB365,3,15 13(2) No group or individual disability insurance policy, as defined in s. 632.895
14(1) (a), and no self-insured health plan, as defined in s. 632.745 (24), may impose an
15annual limit on the dollar value of benefits under the policy or plan.
AB365,8 16Section 8. Initial applicability.
AB365,3,1717 (1) Lifetime and annual limits.
AB365,3,2018 (a) For policies and plans containing provisions inconsistent with this act, the
19act first applies to policy or plan years beginning on January 1 of the year following
20the year in which this paragraph takes effect, except as provided in paragraph (b).
AB365,3,2521 (b) For policies or plans that are affected by a collective bargaining agreement
22containing provisions inconsistent with this act, this act first applies to policy or plan
23years beginning on the effective date of this paragraph or on the day on which the
24collective bargaining agreement is newly established, extended, modified, or
25renewed, whichever is later.
AB365,9
1Section 9. Effective date.
AB365,4,32 (1) This act takes effect on the first day of the 4th month beginning after
3publication.
AB365,4,44 (End)
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