AB912-ASA1,2,63
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), 631.95, 632.72 (2), 632.746 (1) to (8)
5and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to
6(5) (6), 632.895 (5m) and (8) to
(15) (16), and 632.896.
AB912-ASA1,2,119
40.51
(8m) Every health care coverage plan offered by the group insurance
10board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
11632.748, 632.83, 632.835, 632.85, 632.853, 632.855, and 632.895 (11) to
(15) (16).
AB912-ASA1,2,1914
66.0137
(4) Self-insured health plans. If a city, including a 1st class city, or
15a village provides health care benefits under its home rule power, or if a town
16provides health care benefits, to its officers and employees on a self-insured basis,
17the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
18632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4)
and, 19(5),
and (6), 632.895 (9) to
(15)
(16), 632.896, and
767.25 (4m) (d) 767.513 (4).
AB912-ASA1, s. 4
20Section
4. 111.91 (2) (n) of the statutes is amended to read:
AB912-ASA1,3,2
1111.91
(2) (n) The provision to employees of the health insurance coverage
2required under s. 632.895 (11) to (14)
, and (16).
AB912-ASA1,3,85
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
649.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
7632.85, 632.853, 632.855, 632.87 (4)
and, (5),
and (6), 632.895 (9) to
(15)
(16), 632.896,
8and
767.25 (4m) (d) 767.513 (4).
AB912-ASA1,3,1411
185.981
(4t) A sickness care plan operated by a cooperative association is
12subject to ss. 252.14, 631.17, 631.89, 631.95, 632.72 (2), 632.745 to 632.749, 632.85,
13632.853, 632.855, 632.87 (2m), (3), (4),
and (5),
and (6), 632.895 (10) to
(15) (16), and
14632.897 (10) and chs. 149 and 155.
AB912-ASA1,3,2317
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
18exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
19601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.17, 631.89, 631.93,
20631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853,
21632.855, 632.87 (2m), (3), (4),
and (5),
and (6), 632.895 (5) and (9) to
(15) (16), 632.896,
22and 632.897 (10) and chs. 609, 630, 635, 645
, and 646, but the sponsoring association
23shall:
AB912-ASA1,4,2
1609.86 Coverage of hearing aids and cochlear implants for infants and
2young children. Defined network plans are subject to s. 632.895 (16).
AB912-ASA1,4,54
632.895
(16) Hearing aids and cochlear implants for infants and young
5children. (a) In this subsection:
AB912-ASA1,4,66
1. "Hearing aid" has the meaning given in s. 459.01 (2).
AB912-ASA1,4,77
2. "Physician" has the meaning given in s. 448.01 (5).
AB912-ASA1,4,138
(b) Except as provided in par. (d), every disability insurance policy, and every
9self-insured health plan of the state or a county, city, town, village, or school district,
10shall provide coverage of the cost of hearing aids or cochlear implants for a child
11covered under the policy or plan who is under 11 years of age and who is certified as
12deaf or hearing impaired by a physician or by an audiologist licensed under subch.
13II of ch. 459.
AB912-ASA1,4,1614
(c) The coverage required under par. (b) may be subject to cost-sharing
15provisions that apply generally under the disability insurance policy or self-insured
16health plan, but may not be subject to any limitations or exclusions.
AB912-ASA1,4,1717
(d) This subsection does not apply to any of the following:
AB912-ASA1,4,1818
1. A disability insurance policy that covers only certain specified diseases.
AB912-ASA1,4,2119
2. A health care plan offered by a limited service health organization, as defined
20in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
21a defined network plan, as defined in s. 609.01 (1b).
AB912-ASA1,4,2222
3. A long-term care insurance policy.
AB912-ASA1,4,2323
4. A medicare replacement policy or a medicare supplement policy.
AB912-ASA1,4,2525
(1) This act first applies to all of the following:
AB912-ASA1,5,3
1(a) Except as provided in paragraphs (b) and (c), disability insurance policies
2that are issued or renewed, and self-insured health plans that are established,
3extended, modified, or renewed, on the effective date of this paragraph.
AB912-ASA1,5,64
(b) Disability insurance policies covering employees who are affected by a
5collective bargaining agreement containing provisions inconsistent with this act
6that are issued or renewed on the earlier of the following:
AB912-ASA1,5,7
71. The day on which the collective bargaining agreement expires.
AB912-ASA1,5,9
82. The day on which the collective bargaining agreement is extended, modified,
9or renewed.
AB912-ASA1,5,1210
(c) Self-insured health plans covering employees who are affected by a
11collective bargaining agreement containing provisions inconsistent with this act
12that are established, extended, modified, or renewed on the earlier of the following:
AB912-ASA1,5,13
131. The day on which the collective bargaining agreement expires.
AB912-ASA1,5,15
142. The day on which the collective bargaining agreement is extended, modified,
15or renewed.
AB912-ASA1,5,1817
(1) This act takes effect on the first day of the 7th month beginning after
18publication.
