AB490,2,53
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
4shall comply with ss. 631.89, 631.90, 631.93 (2), 632.72 (2), 632.745 (1) to (3) and (5),
5632.747, 632.87 (3) to (5),
632.885, 632.895 (5m) and (8) to (10) and 632.896.
AB490,2,108
40.51
(8m) Every health care coverage plan offered by the group insurance
9board under sub. (7) shall comply with ss. 632.745 (1) to (3) and (5)
and, 632.747
and
10632.885.
AB490,2,1613
60.23
(25) Self-insured health plans. Provide health care benefits to its
14officers and employes on a self-insured basis if the self-insured plan complies with
15ss. 631.89, 631.90, 631.93 (2), 632.745 (2), (3) and (5) (a) 2. and (b) 2., 632.747 (3),
16632.87 (4) and (5),
632.885, 632.895 (9) and 632.896.
AB490,3,3
1966.184 Self-insured health plans. If a city, including a 1st class city, or a
20village provides health care benefits under its home rule power, or if a town provides
21health care benefits, to its officers and employes on a self-insured basis, the
1self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
2632.745 (2), (3) and (5) (a) 2. and (b) 2., 632.747 (3), 632.87 (4) and (5),
632.885, 3632.895 (9) and (10), 632.896, 767.25 (4m) (d) and 767.51 (3m) (d).
AB490, s. 5
4Section
5. 111.91 (2) (n) of the statutes is created to read:
AB490,3,65
111.91
(2) (n) Compliance with the health insurance dependent coverage
6requirement under s. 632.885.
AB490,3,129
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
1049.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.745 (2), (3) and (5) (a) 2. and (b) 2.,
11632.747 (3), 632.87 (4) and (5),
632.885, 632.895 (9) and (10), 632.896, 767.25 (4m)
12(d) and 767.51 (3m) (d).
AB490,3,1715
185.981
(4t) A sickness care plan operated by a cooperative association is
16subject to ss. 252.14, 631.89, 632.72 (2), 632.745, 632.747, 632.749, 632.87 (2m), (3),
17(4) and (5),
632.885, 632.895 (10) and 632.897 (10) and ch. 155.
AB490,3,2520
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
21exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
22601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
23(2), 632.745, 632.747, 632.749, 632.775, 632.79, 632.795, 632.87 (2m), (3), (4) and (5),
24632.885, 632.895 (5), (9) and (10), 632.896 and 632.897 (10), subch. II of ch. 619 and
25chs. 609, 630, 635, 645 and 646, but the sponsoring association shall:
AB490, s. 9
1Section
9. 609.76 of the statutes is created to read:
AB490,4,4
2609.76 Coverage of certain dependents who cease to be full-time
3students. Health maintenance organizations, limited service health organizations
4and preferred provider plans are subject to s. 632.885.
AB490, s. 10
5Section
10. 632.885 of the statutes is created to read:
AB490,4,7
6632.885 Coverage of certain dependents who cease to be full-time
7students. (1) In this section:
AB490,4,88
(a) "Disability insurance policy" has the meaning given in s. 632.895 (1) (a).
AB490,4,109
(b) "Self-insured health plan" means a self-insured health plan of the state or
10a county, city, village, town or school district.
AB490,4,15
11(2) If a person 18 years old or older who has coverage as a dependent under a
12disability insurance policy or a self-insured health plan because he or she is a
13full-time student ceases to be a full-time student due to a medical or physical
14condition, the disability insurance policy or self-insured health plan shall continue
15to provide dependent coverage for the person until the earliest of the following:
AB490,4,1716
(a)
The person advises the insurer that he or she does not intend to return to
17school full time.
AB490,4,1818
(b)
The person becomes employed full time.
AB490,4,1919
(c) The person obtains other health care coverage.
AB490,4,2120
(d)
The person marries and is eligible for coverage under his or her spouse's
21health care coverage.
AB490,4,2222
(e) The person reaches the age of 24 years.
AB490,4,2423
(f) Coverage of the insured through whom the person has dependent coverage
24under the policy or self-insured health plan is discontinued or not renewed.
AB490,5,3
1(g) Although one year has elapsed since the person's medical or physical
2condition has prevented the person from attending school full time, the person has
3not returned to school full time.
AB490,5,55
(1) This act first applies to all of the following:
AB490,5,86
(a) Except as provided in paragraphs (b) and (c), disability insurance policies
7that are issued or renewed, and self-insured health plans that are established,
8extended, modified or renewed, on the effective date of this paragraph.
AB490,5,119
(b) Disability insurance policies covering employes who are affected by a
10collective bargaining agreement containing provisions inconsistent with this act
11that are issued or renewed on the earlier of the following:
AB490,5,12
121. The day on which the collective bargaining agreement expires.
AB490,5,14
132. The day on which the collective bargaining agreement is extended, modified
14or renewed.
AB490,5,1715
(c) Self-insured health plans covering employes who are affected by a collective
16bargaining agreement containing provisions inconsistent with this act that are
17established, extended, modified or renewed on the earlier of the following:
AB490,5,18
181. The day on which the collective bargaining agreement expires.
AB490,5,20
192. The day on which the collective bargaining agreement is extended, modified
20or renewed.
AB490,5,2322
(1) This act takes effect on the first day of the 5th month beginning after
23publication.
