AB150-engrossed, s. 7012b
24Section 7012b. 601.73 (1) (intro.) of the statutes, as affected by 1995
25Wisconsin Act .... (this act), is repealed and recreated to read:
AB150-engrossed,2365,3
1601.73
(1) Requirements for effective service. (intro.) Service upon the
2commissioner or department of financial institutions under s. 601.72 (2) is service
3on the principal, if:
AB150-engrossed,2365,75
601.73
(1) (a) Two copies of the process are left in the hands or office of the
6commissioner or
secretary of state department of financial institutions respectively;
7and
AB150-engrossed,2365,109
601.73
(1) (b) The commissioner or
secretary of state department of financial
10institutions mails a copy of the process to the person served according to sub. (2) (b).
AB150-engrossed,2365,1412
601.73
(2) (a)
Records. The commissioner and
secretary of state department
13of financial institutions shall give receipts for and keep records of all process served
14through them.
AB150-engrossed,2365,2016
601.73
(2) (b)
Process mailed. The commissioner or
secretary of state 17department of financial institutions shall send immediately by certified mail to the
18person served, at the person's last-known principal place of business, residence or
19post-office address or at an address designated in writing by the person, one copy of
20any process received and shall retain the other copy.
AB150-engrossed,2365,2522
601.73
(2) (c)
Default judgment. No plaintiff or complainant is entitled to a
23judgment by default in any proceeding in which process is served under
ss. this
24section and s. 601.72
and 601.73 (2) until the expiration of 20 days from the date of
25mailing of the process under par. (b).
AB150-engrossed,2366,52
601.73
(3) Proof of service. A certificate by the commissioner or the
secretary
3of state department of financial institutions, showing service made upon the
4commissioner or
secretary of state department of financial institutions, and attached
5to a copy of the process presented for that purpose is sufficient evidence of the service.
AB150-engrossed,2366,187
601.93
(2) Every insurer doing a fire insurance business in this state shall,
8before March 1 in each year, file with the commissioner a statement, showing the
9amount of premiums upon fire insurance due for the preceding calendar year.
10Return premiums may be deducted in determining the premium on which the fire
11department dues are computed. Payments of quarterly instalments of the total
12estimated payment for the then current calendar year under this subsection are due
13on or before April 15, June 15, September 15 and December 15. On March 1 the
14insurer shall pay any additional amounts due for the preceding calendar year.
15Overpayments will be credited on the amount due April 15. The commissioner shall,
16prior to May 1 each year, report to the department of
industry, labor and human
17relations development the amount of dues paid under this subsection and to be paid
18under s. 101.573 (1).
AB150-engrossed,2367,220
609.65
(1) (b) (intro.) If the provider performing the examination, evaluation
21or treatment does not have a provider agreement with the health maintenance
22organization, limited service health organization or preferred provider plan which
23covers the provision of that service to the enrolled participant, reimburse the
24provider for the examination, evaluation or treatment of the enrolled participant in
25an amount not to exceed the maximum reimbursement for the service under the
1medical assistance program under
ss. 49.45 to 49.47 subch. IV of ch. 49, if any of the
2following applies:
AB150-engrossed,2367,64
610.01
(4) In any provision of ch. 180 or 181 made applicable by any section of
5chs. 600 to 646,
"secretary of state" "department" shall be read "commissioner of
6insurance".
AB150-engrossed,2367,128
611.72
(1) General. Subject to this section, ss. 180.1101, 180.1103 to 180.1107,
9180.1706, 180.1707 and 180.1708 (5) apply to the merger of a domestic stock
10insurance corporation or its parent insurance holding corporation, except that
11papers required by those sections to be filed with the
secretary of state department
12of financial institutions shall instead be filed with the commissioner.
AB150-engrossed,2367,1714
611.73
(1) Authorization, domestic corporations. Any 2 or more domestic
15mutuals may merge or consolidate under the procedures of ss. 181.42 to 181.47,
16except that papers required by those sections to be filed with the
secretary of state 17department of financial institutions shall instead be filed with the commissioner.
AB150-engrossed,2368,819
611.74
(1) Plan of dissolution. At least 60 days prior to the submission to
20shareholders or policyholders of any proposed voluntary dissolution of an insurance
21corporation under s. 180.1402 or 181.50 the plan shall be filed with the commissioner.
22The commissioner may require the submission of additional information to establish
23the financial condition of the corporation or other facts relevant to the proposed
24dissolution. If the shareholders or policyholders adopt the resolution to dissolve, the
25commissioner shall, within 30 days after the adoption of the resolution, begin to
1examine the corporation. The commissioner shall approve the dissolution unless,
2after a hearing, the commissioner finds that it is insolvent or may become insolvent
3in the process of dissolution. Upon approval, the corporation may dissolve under ss.
4180.1402 to 180.1408 and 180.1706, or ss. 181.51 to 181.555, except that the last
5sentence of s. 181.555 does not apply and papers required by those sections to be filed
6with the
secretary of state department of financial institutions shall instead be filed
7with the commissioner. Upon disapproval, the commissioner shall petition the court
8for liquidation or for rehabilitation under ch. 645.
AB150-engrossed,2368,1310
611.76
(11) Security regulation. The filing with the
office of the commissioner
11division of securities of a certified copy of the plan of conversion as approved by the
12commissioner constitutes registration under s. 551.27 of the securities authorized to
13be issued thereunder.
AB150-engrossed,2368,1715
613.01
(8) (title)
Secretary of state Department of financial institutions.
16In any provision of ch. 180 or 181 made applicable to service insurance corporations
17in this chapter,
"secretary of state" "department" means commissioner of insurance.
AB150-engrossed,2369,3
19613.81 (title)
Tax exemption for certain hospital service insurance
20corporations. Every nonprofit service insurance corporation organized under s.
21613.80 which does not pay any dividends, benefits or pecuniary profits to any
22members or directors
and which does not offer a health maintenance organization
23as defined in s. 609.01 (2) or a limited service health organization as defined in s.
24609.01 (3) is, except for purposes of the franchise tax measured by net income, a
25charitable and benevolent corporation.
Every nonprofit service insurance
1corporation organized under s. 613.80 that offers a health maintenance organization
2as defined in s. 609.01 (2) or a limited service health organization as defined in s.
3609.01 (3) is not a charitable and benevolent corporation.
AB150-engrossed,2369,65
614.05
(1) Chapters 611
and 619
. No section of
chs.
ch. 611 or
subch. I of ch. 6619 applies to fraternals unless it is specifically made applicable by this chapter.
AB150-engrossed,2369,10
8614.09 Reservation of corporate name. Section 181.07 applies to
9fraternals, except that
"secretary of state"
"department" shall be read
10"commissioner".
AB150-engrossed,2369,17
12614.80 Tax exemption. Every domestic and nondomestic fraternal
, except
13those that offer a health maintenance organization as defined in s. 609.01 (2) or a
14limited service health organization as defined in s. 609.01 (3) is exempt from all state,
15county, district, municipal and school taxes or fees, except the fees required by s.
16601.31 (2), but is required to pay all taxes and special assessments on its real estate
17and office equipment, except as provided in s. 70.11 (4) and (8).
AB150-engrossed,2369,2319
616.09
(1) (c) 2. In all actions commenced after May 11, 1980, in those
20provisions of ch. 185 which apply under subd. 1. to plans authorized under s. 616.06,
21"secretary of state" "department" shall be deemed to read
"secretary of state 22"department of financial institutions and commissioner", except in s. 185.48, where
23"secretary of state" "department" shall be deemed to read "commissioner".
AB150-engrossed,2370,5
1616.74
(1) (c) A certificate from the
secretary of state department of financial
2institutions, if it is a nonprofit corporation, that it has complied with the corporation
3laws of this state; if it is a corporation the stock of which has been or is being sold to
4the general public, a certificate from the
commissioner division of securities that it
5has complied with the requirements of the securities law of this state.
AB150-engrossed,2370,87
619.10
(6) "Medical assistance" means health care benefits provided under
ss.
849.45 to 49.47 subch. IV of ch. 49.
AB150-engrossed,2370,1410
619.12
(3) (b) Persons for whom deductible or coinsurance amounts are paid
11or reimbursed under ch. 47 for vocational rehabilitation, under s.
49.48 49.68 for
12renal disease, under s.
49.485 (8) 49.685 (8) for hemophilia or under s.
49.483 49.683 13for cystic fibrosis are not ineligible for coverage under the plan by reason of such
14payments or reimbursements.
AB150-engrossed,2371,216
626.12
(3) Physical impairment. Rates or rating plans may not take into
17account the physical impairment of employes. Any employer who applies or
18promotes any oppressive plan of physical examination and rejection of employes or
19applicants for employment shall forfeit the right to experience rating. If the
20department of industry, labor and human relations determines that grounds exist for
21such forfeiture it shall file with the commissioner a certified copy of its findings,
22which shall automatically suspend any experience rating credit for the employer.
23The department shall make the determination as prescribed in
ss. 101.02 s. 103.005 24(5) (b) to (f), (6) to
(12) and (14) (11), (13) (b) to (d) and
101.03 (16), so far as such
1sections subsections are applicable, subject to review under ch. 227. Restoration of
2an employer to the advantages of experience rating shall be by the same procedure.
AB150-engrossed,2371,204
628.04
(3) Classification and examination. The commissioner may by rule
5prescribe classifications of intermediaries in addition to agent and surplus lines
6agent or broker, by kind of authority, or kind of insurance, or in other ways, and may
7prescribe different standards of competence, including examinations and
8educational prerequisites, for each class. The commissioner may by rule set
9prelicensing and annual continuing education standards, but may not require a
10licensed intermediary to complete a course of study requiring more than
15 30 hours,
11per license, of approved continuing education, including continuing education
12programs approved by the commissioner and presented by the insurers, in any
13one-year 2-year period.
The commissioner may approve courses or programs that
14an applicant for an intermediary's license may attend to fulfill a prelicensing
15education requirement, or that a licensed intermediary may attend to fulfill a
16continuing education requirement, and may approve organizations that may offer
17approved courses or programs. The commissioner may, by rule, exempt any class of
18intermediaries from the continuing education requirements. So far as practicable,
19the commissioner shall issue a single license to each individual intermediary for a
20single fee.
AB150-engrossed,2372,522
628.10
(2) (a)
For failure to comply with continuing education requirements.
23The commissioner may by order suspend the license of any intermediary who fails
24to produce evidence of compliance with continuing education standards set by the
25commissioner.
If an intermediary whose license has been suspended under this
1paragraph produces evidence of compliance within 60 days after the date on which
2the license is suspended, the commissioner shall reinstate the license effective on the
3date of suspension. If such an intermediary does not produce evidence of compliance
4within 60 days, the license is revoked and the intermediary may be relicensed only
5after satisfying all requirements under s. 628.04.
AB150-engrossed,2372,11
7628.11 Listing of insurance agents. An insurer shall report to the
8commissioner at such intervals as the commissioner establishes by rule all
9appointments
, including renewals of appointments, and all terminations of
10appointments of insurance agents to do business in this state, and shall pay the fees
11prescribed under s. 601.31 (1) (n).
AB150-engrossed,2372,1613
632.10
(1) "Building and safety standards" means the requirements of chs. 101
14and 145 and of any rule promulgated by the department of
industry, labor and human
15relations development under ch. 101 or 145, and standards of a 1st class city relating
16to the health and safety of occupants of buildings.
AB150-engrossed,2372,1918
632.102
(2) (b) The lesser of
$5,000
$7,500 or the limits under the policy for
19coverage of the building or other structure affixed to land that sustained the loss.
AB150-engrossed,2372,21
21632.72 (title)
Medical benefits or assistance; assignment.
AB150-engrossed,2373,424
632.72
(1r) The providing of medical benefits
under s. 49.02 or 49.046 or
of
25medical assistance
under s. 49.45, 49.46, 49.465, 49.468 or 49.47 constitutes an
1assignment to the department
of health and social services or the county providing
2the medical benefits or assistance or contract provider. The assignment shall be, to
3the extent of the medical benefits or assistance provided, for benefits to which the
4recipient would be entitled under any policy of health and disability insurance.
AB150-engrossed,2373,66
632.72
(1g) In this section:
AB150-engrossed,2373,107
(a) "Department or contract provider" means the department of health and
8social services, the county providing the medical benefits or assistance or a health
9maintenance organization that has contracted with the department of health and
10social services to provide the medical benefits or assistance.
AB150-engrossed,2373,1211
(b) "Medical benefits or assistance" means medical benefits under s. 49.02 or
1249.046 or medical assistance, as defined under s. 49.43 (8).
AB150-engrossed, s. 7045b
13Section 7045b. 632.72 (1g) (b) of the statutes, as affected by 1995 Wisconsin
14Act .... (this act), is amended to read:
AB150-engrossed,2373,1715
632.72
(1g) (b) "Medical benefits or assistance" means
medical benefits health
16care services funded by a relief block grant under
s. 49.02 or 49.046 ch. 49, or medical
17assistance, as defined under s. 49.43 (8).
AB150-engrossed,2373,2519
632.72
(2) An insurer may not impose on the department
of health and social
20services or contract provider, as assignee of a person who is covered under the policy
21of health and disability insurance and who is eligible for medical benefits
under s.
2249.02 or 49.046 or
for medical assistance
under s. 49.45, 49.46, 49.465, 49.468 or
2349.47, requirements that are different from those imposed on any other agent or
24assignee of a person who is covered under the policy of health and disability
25insurance.
AB150-engrossed,2374,52
632.89
(1) (e) 1. A program in an outpatient treatment facility, if both are
3approved by the department of health and social services
and, the program is 4established and maintained according to rules promulgated under s. 51.42 (7) (b)
and
5the facility is certified under s. 51.04.
AB150-engrossed,2375,47
632.895
(3) Skilled nursing care. Every disability insurance policy filed after
8November 29, 1979, which provides coverage for hospital care shall provide coverage
9for at least 30 days for skilled nursing care to patients who enter a licensed skilled
10nursing care facility. A disability insurance policy, other than a medicare
11supplement policy or medicare replacement policy, may limit coverage under this
12subsection to patients who enter a licensed skilled nursing care facility within 24
13hours after discharge from a general hospital. The daily rate payable under this
14subsection to a licensed skilled nursing care facility shall be no less than the
15maximum daily rate established for skilled nursing care in that facility by the
16department of health and social services for purposes of reimbursement under the
17medical assistance program under
ss. 49.45 to 49.47
subch. IV of ch. 49. The coverage
18under this subsection shall apply only to skilled nursing care which is certified as
19medically necessary by the attending physician and is recertified as medically
20necessary every 7 days. If the disability insurance policy is other than a medicare
21supplement policy or medicare replacement policy, coverage under this subsection
22shall apply only to the continued treatment for the same medical or surgical
23condition for which the insured had been treated at the hospital prior to entry into
24the skilled nursing care facility. Coverage under any disability insurance policy
25governed by this subsection may be subject to a deductible that applies to the hospital
1care coverage provided by the policy. The coverage under this subsection shall not
2apply to care which is essentially domiciliary or custodial, or to care which is
3available to the insured without charge or under a governmental health care
4program, other than a program provided under ch. 49.
AB150-engrossed,2375,9
6645.76 Disposition of records during and after termination of
7liquidation. Records of any insurer in the process of liquidation or completely
8liquidated under this chapter shall be disposed of by the public records
and forms 9board in the same manner as state records under s. 16.61.
AB150-engrossed,2375,1111
701.107
(3m) "Division" means the division of banking.
AB150-engrossed,2375,1513
701.107
(4) "Nonreciprocal state" means a state other than this state and other
14than a regional state, as defined in s. 221.58 (1) (h), that the
commissioner of banking 15division finds satisfies s. 221.58 (4) (a).
AB150-engrossed,2375,2017
701.108
(1) (b) The bank or bank holding company proposing to obtain the stock
18of a bank holding company under this section has filed an application with the
19commissioner of banking division, and the
commissioner of banking division does not
20disapprove the application under sub. (2).
AB150-engrossed,2376,622
701.108
(1) (c) The
commissioner of banking division gives a class 3 notice,
23under ch. 985, in the official state newspaper, of the application to take an action
24under this subsection and of the opportunity for a hearing and, if at least 25 residents
25of this state petition for a hearing within 30 days after the final notice or if the
1commissioner division on
his or her the division's motion calls for a hearing within
230 days after the final notice, the
commissioner
division holds a public hearing on
3the application, except that a hearing is not required if the
commissioner division 4finds that an emergency exists and that the proposed action under this subsection
5is necessary and appropriate to prevent the probable failure of a bank owned by the
6charitable trust that is closed or in danger of closing.
AB150-engrossed,2376,108
701.108
(1) (d) The
commissioner of banking division is provided a copy of any
9original application seeking approval by a federal agency of the transaction and of
10any supplemental material or amendments filed with the application.
AB150-engrossed,2376,1412
701.108
(1) (e) The applicant has paid the
commissioner of banking division a
13fee of $1,000 together with the actual costs incurred by the
commissioner division in
14holding any hearing on the application.