LRB-2359/1
RAC:jld:pg
2005 - 2006 LEGISLATURE
April 22, 2005 - Introduced by Representatives Sheridan, Kaufert, Kreuser,
Ainsworth, Benedict, Berceau, Black, Boyle, Fields, McCormick, Molepske,
Pocan, Richards, Seidel, Shilling, Sinicki, Staskunas, Turner, Van Akkeren
and Zepnick, cosponsored by Senators Hansen, Ellis, Breske, Carpenter,
Erpenbach and Robson. Referred to Committee on Insurance.
AB352,1,3
1An Act to amend 40.51 (1); and
to create 20.515 (1) (g) and 40.515 of the
2statutes;
relating to: coverage under state employee health care coverage plan
3for certain qualifying individuals and making an appropriation.
Analysis by the Legislative Reference Bureau
Under current law, the Group Insurance Board, attached to the Department of
Employee Trust Funds (DETF), is required to contract on behalf of the state for the
purpose of providing health care coverage to state employees. Many other public
sector employers may also participate in programs offered by the Group Insurance
Board to provide health care coverage for their employees.
This bill provides that, beginning on January 1, 2006, any state resident who
is eligible for a tax credit under the federal Trade Adjustment Assistance Reform Act
of 2002 or who is receiving benefits from the federal Pension Benefit Guaranty
Corporation may elect to receive coverage under any health care coverage plan
offered to state employees by paying to DETF the full cost of the required premiums.
For further information see the state 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:
AB352, s. 1
4Section
1. 20.515 (1) (g) of the statutes is created to read:
AB352,2,4
120.515
(1) (g)
Benefit and coverage payments; health care coverage for certain
2qualifying individuals. All moneys received from individuals under s. 40.515 who
3elect to be included in a health care coverage plan under s. 40.51 (6), for the payment
4of benefits and the cost of administering benefits for the individuals.
AB352, s. 2
5Section
2. 40.51 (1) of the statutes is amended to read:
AB352,2,96
40.51
(1) The procedures and provisions pertaining to enrollment, premium
7transmitted and coverage of eligible employees
and individuals eligible for health
8care coverage under s. 40.515 for health care benefits shall be established by contract
9or rule except as otherwise specifically provided by this chapter.
AB352, s. 3
10Section
3. 40.515 of the statutes is created to read:
AB352,2,13
1140.515 Health care coverage for qualifying individuals. (1) In this
12section, "qualifying individual" means an individual described under
26 USC 35 (e)
13(2) (B).
AB352,2,17
14(2) Beginning on January 1, 2006, any qualifying individual, who is not
15otherwise eligible for health care coverage under this subchapter, may elect coverage
16under any health care coverage plan offered under s. 40.51 (6) subject to all of the
17following conditions:
AB352,2,1818
(a) The individual is a resident of this state.
AB352,2,2019
(b) The individual provides proof to the department that the individual does
20not have any other health insurance.
AB352,2,2221
(c) The individual pays to the department the full cost of the required
22premiums.
AB352,3,2
23(3) The department may not impose any preexisting condition exclusion for
24individuals who elect to receive health care coverage under sub. (2) and may not
1charge a premium that is greater than the amount charged a state employee who
2selects similar coverage under a health care coverage plan offered under s. 40.51 (6).