633.12(1)(a) (a) The names and addresses of the administrator and the principal.
633.12(1)(b) (b) An explanation of the respective rights and responsibilities of the administrator, the principal and the insureds.
633.12(1)(c) (c) A statement of the extent to which the plan is insured or self-insured, and an explanation of the terms "insured" and "self-insured".
633.12(2) (2) If an administrator collects premiums or charges from a person on behalf of a principal, at least once in every year, prior to collecting the premiums or charges, the administrator shall provide written notice to the person stating the amount of the premiums or charges.
633.12 History History: 1991 a. 39.
633.13 633.13 License required.
633.13(1)(1)General. Except as provided in sub. (2), a person may not perform, offer to perform or advertise any service as an administrator unless the person has obtained a license under s. 633.14.
633.13(2) (2)Exemptions. The commissioner may exempt by rule certain classes of administrators from the requirement of sub. (1) if the commissioner determines any of the following:
633.13(2)(a) (a) That the functions that the administrators perform do not require special competence or trustworthiness or otherwise do not require the regulatory surveillance of a licensing requirement.
633.13(2)(b) (b) That other safeguards make a licensing requirement unnecessary.
633.13(3) (3)Responsibilities of principal. A principal may not use the services of an administrator unless the administrator furnishes proof of licensure under s. 633.14 or exemption under sub. (2).
633.13 History History: 1991 a. 39.
633.14 633.14 Issuance of license.
633.14(1)(1) The commissioner shall issue a license to act as an administrator to an individual who does all of the following:
633.14(1)(a) (a) Pays the fee under s. 601.31 (1) (w).
633.14(1)(b) (b) Supplies a bond meeting the specifications established under sub. (3).
633.14(1)(c) (c) Shows to the satisfaction of the commissioner all of the following:
633.14(1)(c)1. 1. That the person intends in good faith to act as an administrator in compliance with applicable laws of this state and rules and orders of the commissioner.
633.14(1)(c)2. 2. That the person is competent and trustworthy.
633.14(1)(c)3. 3. That the person is licensed to act as an agent.
633.14(1)(c)4. 4. If a nonresident, that the person has executed in a form acceptable to the commissioner an agreement to be subject to the jurisdiction of the commissioner and the courts of this state and rules and orders of the commissioner, with service of process as provided under ss. 601.72 and 601.73.
633.14(1)(d) (d) Provides his or her social security number.
633.14(2) (2) The commissioner shall issue a license to act as an administrator to a corporation, limited liability company or partnership that does all of the following:
633.14(2)(a) (a) Pays the fee under s. 601.31 (1) (w).
633.14(2)(b) (b) Supplies a bond meeting the specifications established under sub. (3).
633.14(2)(c) (c) Shows to the satisfaction of the commissioner all of the following:
633.14(2)(c)1. 1. That the corporation, limited liability company or partnership intends in good faith to act as an administrator through individuals designated under subd. 3. in compliance with applicable laws of this state and rules and orders of the commissioner.
633.14(2)(c)2. 2. That each officer, director, member, partner or other individual having comparable responsibilities in the corporation, limited liability company or partnership is competent and trustworthy.
633.14(2)(c)3. 3. That for each plan to be administered, the corporation, limited liability company or partnership has designated or will designate an individual in the corporation, limited liability company or partnership to directly administer the plan.
633.14(2)(c)4. 4. If not organized under the laws of this state, that the corporation, limited liability company or partnership has executed in a form acceptable to the commissioner an agreement to be subject to the jurisdiction of the commissioner and the courts of this state and rules and orders of the commissioner, with service of process as provided under ss. 601.72 and 601.73.
633.14(2)(d) (d) Provides its federal employer identification number.
633.14(2c) (2c)
633.14(2c)(a)(a) The commissioner shall disclose a social security number obtained under sub. (1) (d) to the department of workforce development in the administration of s. 49.22, as provided in a memorandum of understanding entered into under s. 49.857.
633.14(2c)(b) (b) The commissioner may disclose any information received under sub. (1) (d) or (2) (d) or s. 633.15 (1m) to the department of revenue for the purpose of requesting certifications under s. 73.0301.
633.14(2m) (2m)
633.14(2m)(a)(a) Notwithstanding sub. (1), the commissioner may not issue a license under this section if the individual applying for the license is delinquent in court-ordered payments of child or family support, maintenance, birth expenses, medical expenses or other expenses related to the support of a child or former spouse, or if the individual fails to comply, after appropriate notice, with a subpoena or warrant issued by the department of workforce development or a county child support agency under s. 59.53 (5) and related to paternity or child support proceedings, as provided in a memorandum of understanding entered into under s. 49.857.
633.14(2m)(b) (b) Notwithstanding subs. (1) and (2), the commissioner may not issue a license under this section if the department of revenue certifies under s. 73.0301 that the applicant is liable for delinquent taxes.
633.14(3) (3) The commissioner shall promulgate rules establishing the specifications that a bond supplied by an administrator under sub. (1) (b) or (2) (b) must satisfy to guarantee faithful performance of the administrator.
633.14 History History: 1991 a. 39; 1993 a. 112; 1997 a. 191, 237.
633.15 633.15 License; renewal, suspension, limitation, revocation, penalty.
633.15(1)(1)Annual renewal fee.
633.15(1)(a)(a) Payment. An administrator shall pay the annual renewal fee under s. 601.31 (1) (w) for each annual renewal of a license by the date specified by a schedule established under par. (b).
633.15(1)(b) (b) Schedule by rule. The commissioner shall promulgate rules establishing a schedule for payment of the annual renewal fee.
633.15(1m) (1m)Social security or federal employer identification number. At an annual renewal, an administrator shall provide his or her social security number, if the administrator is an individual, or its federal employer identification number, if the administrator is a corporation, limited liability company or partnership, if the social security number or federal employer identification number was not previously provided on the application for the license or at a previous renewal of the license.
633.15(2) (2)Revocation, suspension, limitation.
633.15(2)(a)(a) Nonpayment of annual renewal fee or failure to provide social security number or federal employer identification number.
633.15(2)(a)1.1. If an administrator fails to pay the annual renewal fee as provided under sub. (1) or fails to provide a social security number or federal employer identification number as required under sub. (1m), the commissioner shall suspend the administrator's license effective the day following the last day when the annual renewal fee may be paid, if the commissioner has given the administrator reasonable notice of when the fee must be paid to avoid suspension.
633.15(2)(a)2. 2. If, within 60 days from the effective date of suspension under subd. 1., an administrator pays the annual renewal fee or provides the social security number or federal employer identification number, or both if the suspension was based upon a failure to do both, the commissioner shall reinstate the administrator's license effective as of the date of suspension.
633.15(2)(a)3. 3. If payment is not made or the social security number or federal employer identification number is not provided within 60 days from the effective date of suspension under subd. 1., the commissioner shall revoke the administrator's license.
633.15(2)(a)4. 4. A person whose license has been revoked under subd. 3. may apply for a new license under s. 633.14 at any time.
633.15(2)(b) (b) Other reasons.
633.15(2)(b)1.1. Except as provided in pars. (c) and (d), the commissioner may revoke, suspend or limit the license of an administrator after a hearing if the commissioner makes any of the following findings:
633.15(2)(b)1.a. a. That the administrator is unqualified to perform the responsibilities of an administrator.
633.15(2)(b)1.b. b. That the administrator has repeatedly or knowingly violated an applicable law, rule or order of the commissioner.
633.15(2)(b)1.c. c. That the administrator's methods or practices in administering a plan endanger the interests of insureds or the public, or that the financial resources of the administrator are inadequate to safeguard the interests of insureds or the public.
633.15(2)(b)2. 2. A person whose license has been revoked under subd. 1. may apply for a new license under s. 633.14 only after the expiration of 5 years from the date of the order revoking the administrator's license, unless the order specifies a lesser period.
633.15(2)(c) (c) Failure to pay support or to comply with subpoena or warrant. The commissioner shall suspend, limit or refuse to renew a license issued under this section to an individual if the individual is delinquent in court-ordered payments of child or family support, maintenance, birth expenses, medical expenses or other expenses related to the support of a child or former spouse, or if the individual fails to comply, after appropriate notice, with a subpoena or warrant issued by the department of workforce development or a county child support agency under s. 59.53 (5) and related to paternity or child support proceedings, as provided in a memorandum of understanding entered into under s. 49.857.
633.15(2)(d) (d) For liability for delinquent taxes. The commissioner shall revoke or refuse to renew a license issued under s. 633.14 if the department of revenue certifies under s. 73.0301 that the licensee is liable for delinquent taxes.
633.15 History History: 1991 a. 39; 1997 a. 191, 237.
633.16 633.16 Regulation. Nothing in this chapter gives the commissioner the authority to impose requirements on a plan that is exempt from state law under 29 USC 1144 (b).
633.16 History History: 1991 a. 39; Stats. 1991 s. 633.16.
633.16 Annotation Commissioner lacks authority to regulate administrators of self-funded or self-insured employe benefit plans. 80 Atty. Gen. 290.
633.17 633.17 Rule-making authority. The commissioner shall promulgate rules necessary for the implementation of this chapter, in addition to the rules permitted under s. 633.13 (2) and required under ss. 633.14 (3) and 633.15 (1) (b).
633.17 History History: 1991 a. 39.
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This is an archival version of the Wis. Stats. database for 1997. See Are the Statutes on this Website Official?