SB1,1413,128
601.32
(1) If the moneys credited to s. 20.145 (1) (g)
1. under other sections of
9the statutes prove inadequate for the office's supervision of insurance industry
10program, the commissioner may increase any or all of the fees imposed by s. 601.31,
11or may in any year levy a special assessment on all domestic insurers, or both, for the
12general operation of that program.
SB1, s. 3652m
13Section 3652m. 601.415 (8) of the statutes is created to read:
SB1,1413,1714
601.415
(8) Long-Term Care Partnership Program. The commissioner shall
15provide the certifications required under s. 49.45 (31) (b) 5. and shall cooperate with
16the department of health and family services in approving the training program
17under s. 49.45 (31) (c) for agents who sell long-term care insurance policies.
SB1, s. 3653
18Section
3653. 601.45 (3) of the statutes is amended to read:
SB1,1413,2419
601.45
(3) Deposit. The commissioner may require any examinee, before or
20from time to time during an examination, to deposit with the secretary of
21administration such deposits as the commissioner deems necessary to pay the costs
22of the examination. Any deposit and any payment made under subs. (1) and (2) shall
23be credited to the appropriation
account under s. 20.145 (1) (g)
1. in the percentage
24specified in that
paragraph subdivision.
SB1, s. 3654
25Section
3654. 601.45 (4) of the statutes is amended to read:
SB1,1414,7
1601.45
(4) Exemptions. On the examinee's request or on the commissioner's
2own motion, the commissioner may pay all or part of the costs of an examination from
3the appropriation under s. 20.145 (1) (g)
1., whenever the commissioner finds that
4because of the frequency of examinations or other factors, imposition of the costs
5would place an unreasonable burden on the examinee. The commissioner shall
6include in his or her annual report information about any instance in which the
7commissioner applied this subsection.
SB1, s. 3655
8Section
3655. 601.47 (1) of the statutes is amended to read:
SB1,1414,129
601.47
(1) General. The commissioner may prepare books, pamphlets
, and
10other publications relating to insurance and sell them in the manner and at the
11prices the commissioner determines. The cost of publication and distribution may
12be paid from the appropriation under s. 20.145 (1) (g)
1.
SB1, s. 3656
13Section
3656. 601.47 (3) of the statutes is amended to read:
SB1,1414,1714
601.47
(3) Free distribution. The commissioner may furnish free copies of the
15publications prepared under subs. (1) and (2) to public officers and libraries in this
16state and elsewhere. The cost of free distribution shall be charged to the
17appropriation under s. 20.145 (1) (g)
1.
SB1, s. 3657
18Section
3657. 601.48 (1) of the statutes is amended to read:
SB1,1414,2519
601.48
(1) National Association of Insurance Commissioners. The
20commissioner and the office of the commissioner shall maintain close relations with
21the commissioners of other states and shall participate in the activities and affairs
22of the National Association of Insurance Commissioners and other organizations so
23far as it will, in the judgment of the commissioner, enhance the purposes of chs. 600
24to 655. The actual and necessary expenses incurred thereby shall be reimbursed out
25of the appropriation under s. 20.145 (1) (g)
1.
SB1, s. 3658
1Section
3658. 601.62 (4) of the statutes is amended to read:
SB1,1415,72
601.62
(4) Fees in investigations and hearings. The fees for stenographic
3services in investigations, examinations, and hearings may not exceed the sum
4provided for like services in the circuit court. The fees of officers, witnesses,
5interpreters, and stenographers on behalf of the commissioner or the state shall be
6paid by the secretary of administration, authorized by the certificate of the
7commissioner, and shall be charged to the appropriation under s. 20.145 (1) (g)
1.
SB1, s. 3659
8Section
3659. 604.04 (3) of the statutes is amended to read:
SB1,1415,199
604.04
(3) Expenses. No full-time state officer or employee may receive
10additional compensation for services under chs. 604 to 607. Appropriate portions of
11the salaries of such persons who do work for the funds or supervise them, and other
12expenses including reasonable charges for state-owned or state-rented office space
13and the use of state-owned or state-rented office equipment shall be charged against
14each fund.
Each fund shall pay to the commissioner amounts charged for
15organizational support services, which shall be credited to the appropriation account
16under s. 20.145 (1) (g) 2. Each fund shall also be charged a sum equivalent to the state
17premium tax that would be paid by a domestic mutual insurer organized or operating
18under ch. 611 and doing the same kind of insurance business, except that no such
19charge shall be made for the insurance of governmental units.
SB1, s. 3660c
20Section 3660c. 609.87 of the statutes is created to read:
SB1,1415,22
21609.87 Coverage of treatment for autism spectrum disorders. Defined
22network plans are subject to s. 632.895 (15).
SB1, s. 3660g
23Section 3660g. 616.10 of the statutes is amended to read:
SB1,1416,3
24616.10 Exemption from taxation. Every mutual designated a school benefit
25insurer under s. 616.03, every plan authorized under s. 616.06, and every corporation
1organized under s. 616.08 is declared to be a charitable and benevolent corporation,
2and its property, real, personal and mixed, and its income and property transferred
3to it, are exempt from taxation as provided in ss. 70.11, 71.26 (1) (a) and 71.45 (1)
(a).
SB1, s. 3661
4Section
3661. 628.095 (4) (a) of the statutes is amended to read:
SB1,1416,85
628.095
(4) (a) The commissioner shall disclose a social security number
6obtained under sub. (1) or (3) to the department of
workforce development children
7and families in the administration of s. 49.22, as provided in a memorandum of
8understanding entered into under s. 49.857.
SB1, s. 3662
9Section
3662. 628.095 (5) of the statutes is amended to read:
SB1,1416,2010
628.095
(5) If applicant or intermediary has no social security number. If an
11applicant who is a natural person does not have a social security number, the
12applicant shall provide to the commissioner, along with the application for a license
13and on a form prescribed by the department of
workforce development children and
14families, a statement made or subscribed under oath or affirmation that the
15applicant does not have a social security number. If an intermediary who is a natural
16person does not have a social security number, the intermediary shall provide to the
17commissioner, each time that the annual fee is paid under s. 601.31 (1) (m) and on
18a form prescribed by the department of
workforce development children and
19families, a statement made or subscribed under oath or affirmation that the
20applicant does not have a social security number.
SB1, s. 3663
21Section
3663. 628.097 (1m) of the statutes is amended to read:
SB1,1417,622
628.097
(1m) For failure to pay support or to comply with subpoena or
23warrant. The commissioner shall refuse to issue to a natural person a license,
24including a temporary license, under this subchapter if the natural person is
25delinquent in court-ordered payments of child or family support, maintenance, birth
1expenses, medical expenses or other expenses related to the support of a child or
2former spouse, or if the natural person fails to comply, after appropriate notice, with
3a subpoena or warrant issued by the department of
workforce development children
4and families or a county child support agency under s. 59.53 (5) and related to
5paternity or child support proceedings, as provided in a memorandum of
6understanding entered into under s. 49.857.
SB1, s. 3664
7Section
3664. 628.10 (2) (c) of the statutes is amended to read:
SB1,1417,178
628.10
(2) (c)
For failure to pay support or to comply with subpoena or warrant. 9The commissioner shall suspend or limit the license of an intermediary who is a
10natural person, or a temporary license of a natural person under s. 628.09, if the
11natural person is delinquent in court-ordered payments of child or family support,
12maintenance, birth expenses, medical expenses or other expenses related to the
13support of a child or former spouse, or if the natural person fails to comply, after
14appropriate notice, with a subpoena or warrant issued by the department of
15workforce development children and families or a county child support agency under
16s. 59.53 (5) and related to paternity or child support proceedings, as provided in a
17memorandum of understanding entered into under s. 49.857.
SB1, s. 3664c
18Section 3664c. 628.348 of the statutes is created to read:
SB1,1417,24
19628.348 Sale of long-term care insurance. (1) Training requirement. No
20person may solicit, negotiate, or sell long-term care insurance unless the person is
21a licensed intermediary and he or she completes the initial training portion of the
22training program under s. 49.45 (31) (c) by January 1, 2009, and completes the
23ongoing training under s. 49.45 (31) (c) every 24 months after completing the initial
24training.
SB1,1418,2
1(2) Insurer verification. Insurers providing long-term care insurance shall
2do all of the following:
SB1,1418,53
(a) Obtain from intermediaries selling long-term care insurance on behalf of
4the insurer verification that the intermediary is in compliance with the training
5requirements under sub. (1).
SB1,1418,66
(b) Maintain records related to the verifications obtained under par. (a).
SB1,1418,77
(c) Make the records under par. (b) available to the commissioner upon request.
SB1, s. 3666
8Section
3666. 632.48 (3) of the statutes is created to read:
SB1,1418,139
632.48
(3) Notice of changes. An insurer that receives a request from the
10department of health and family services under s. 49.47 (4) (cr) 2. for notification
11shall comply with the request and notify the department of any changes to or
12payments made under the annuity contract to which the request for notification
13relates.
SB1, s. 3667
14Section
3667. 632.68 (2) (b) 3m. of the statutes is amended to read:
SB1,1418,1815
632.68
(2) (b) 3m. If a natural person who does not have a social security
16number, provides on a form prescribed by the department of
workforce development 17children and families a statement made or subscribed under oath or affirmation that
18the applicant does not have a social security number.
SB1, s. 3668
19Section
3668. 632.68 (2) (bc) 1. of the statutes is amended to read:
SB1,1418,2320
632.68
(2) (bc) 1. The commissioner shall disclose a social security number
21obtained under par. (b) to the department of
workforce development children and
22families in the administration of s. 49.22, as provided in a memorandum of
23understanding entered into under s. 49.857.
SB1, s. 3669
24Section
3669. 632.68 (2) (bm) 1. of the statutes is amended to read:
SB1,1419,9
1632.68
(2) (bm) 1. Notwithstanding par. (b), the commissioner may not issue
2a license under this subsection to a natural person who is delinquent in
3court-ordered payments of child or family support, maintenance, birth expenses,
4medical expenses or other expenses related to the support of a child or former spouse,
5or who fails to comply, after appropriate notice, with a subpoena or warrant issued
6by the department of
workforce development children and families or a county child
7support agency under s. 59.53 (5) and related to paternity or child support
8proceedings, as provided in a memorandum of understanding entered into under s.
949.857.
SB1, s. 3670
10Section
3670. 632.68 (2) (e) of the statutes is amended to read:
SB1,1419,2111
632.68
(2) (e) Except as provided in sub. (3), a license issued under this
12subsection shall be renewed annually on July 1 upon payment of the fee specified in
13s. 601.31 (1) (mp) and upon providing the licensee's social security number, unless
14the licensee does not have a social security number, or federal employer
15identification number, as applicable, if not previously provided on the application for
16the license or at a previous renewal of the license. If the licensee is a natural person
17who does not have a social security number, the license shall be renewed annually
18on July 1 upon payment of the fee specified in s. 601.31 (1) (mp) and upon providing
19to the commissioner a statement made or subscribed under oath or affirmation, on
20a form prescribed by the department of
workforce development children and
21families, that the licensee does not have a social security number.
SB1, s. 3671
22Section
3671. 632.68 (3) (b) 1. of the statutes is amended to read:
SB1,1420,623
632.68
(3) (b) 1. The commissioner shall suspend, limit or refuse to renew a
24viatical settlement provider license issued to a natural person if the natural person
25is delinquent in court-ordered payments of child or family support, maintenance,
1birth expenses, medical expenses or other expenses related to the support of a child
2or former spouse, or if the natural person fails to comply, after appropriate notice,
3with a subpoena or warrant issued by the department of
workforce development 4children and families or a county child support agency under s. 59.53 (5) and related
5to paternity or child support proceedings, as provided in a memorandum of
6understanding entered into under s. 49.857.
SB1, s. 3672
7Section
3672. 632.68 (4) (b) of the statutes is amended to read:
SB1,1420,228
632.68
(4) (b) A person may apply to the commissioner for a viatical settlement
9broker license on a form prescribed by the commissioner for that purpose. The
10application form shall require the applicant to provide the applicant's social security
11number, if the applicant is a natural person unless the applicant does not have a
12social security number, or the applicant's federal employer identification number, if
13the applicant is not a natural person. The fee specified in s. 601.31 (1) (mr) shall
14accompany the application. The commissioner may not issue a license under this
15subsection unless the applicant provides his or her social security number, unless the
16applicant does not have a social security number, or its federal employer
17identification number, whichever is applicable. If the applicant is a natural person
18who does not have a social security number, the commissioner may not issue a license
19under this subsection unless the applicant provides, on a form prescribed by the
20department of
workforce development children and families, a statement made or
21subscribed under oath or affirmation that the applicant does not have a social
22security number.
SB1, s. 3673
23Section
3673. 632.68 (4) (bc) 1. of the statutes is amended to read:
SB1,1421,224
632.68
(4) (bc) 1. The commissioner shall disclose a social security number
25obtained under par. (b) to the department of
workforce development children and
1families in the administration of s. 49.22, as provided in a memorandum of
2understanding entered into under s. 49.857.
SB1, s. 3674
3Section
3674. 632.68 (4) (bm) 1. of the statutes is amended to read:
SB1,1421,114
632.68
(4) (bm) 1. The commissioner may not issue a license under this
5subsection to a natural person who is delinquent in court-ordered payments of child
6or family support, maintenance, birth expenses, medical expenses or other expenses
7related to the support of a child or former spouse, or who fails to comply, after
8appropriate notice, with a subpoena or warrant issued by the department of
9workforce development children and families or a county child support agency under
10s. 59.53 (5) and related to paternity or child support proceedings, as provided in a
11memorandum of understanding entered into under s. 49.857.
SB1, s. 3675
12Section
3675. 632.68 (4) (c) of the statutes is amended to read:
SB1,1421,2313
632.68
(4) (c) Except as provided in sub. (5), a license issued under this
14subsection shall be renewed annually on July 1 upon payment of the fee specified in
15s. 601.31 (1) (ms) and upon providing the licensee's social security number, unless the
16licensee does not have a social security number, or federal employer identification
17number, as applicable, if not previously provided on the application for the license
18or at a previous renewal of the license. If the licensee is a natural person who does
19not have a social security number, the license shall be renewed annually, except as
20provided in sub. (5), on July 1 upon payment of the fee specified in s. 601.31 (1) (ms)
21and upon providing to the commissioner a statement made or subscribed under oath
22or affirmation, on a form prescribed by the department of
workforce development 23children and families, that the licensee does not have a social security number.
SB1, s. 3676
24Section
3676. 632.68 (5) (b) 1. of the statutes is amended to read:
SB1,1422,9
1632.68
(5) (b) 1. The commissioner shall suspend, limit or refuse to renew a
2viatical settlement broker license issued to a natural person if the natural person is
3delinquent in court-ordered payments of child or family support, maintenance, birth
4expenses, medical expenses or other expenses related to the support of a child or
5former spouse, or if the natural person fails to comply, after appropriate notice, with
6a subpoena or warrant issued by the department of
workforce development children
7and families or a county child support agency under s. 59.53 (5) and related to
8paternity or child support proceedings, as provided in a memorandum of
9understanding entered into under s. 49.857.
SB1, s. 3677c
10Section 3677c. 632.726 of the statutes is created to read:
SB1,1422,14
11632.726 Current procedural terminology code changes. (1) In this
12section, "current procedural terminology code" means a number established by the
13American Medical Association that a health care provider puts on a health insurance
14claim form to describe the services that he or she performed.
SB1,1422,19
15(2) If an insurer changes a current procedural terminology code that was
16submitted by a health care provider on a health insurance claim form, the insurer
17shall include on the explanation of benefits form the reason for the change to the
18current procedural terminology code and shall cite on the explanation of benefits
19form the source for the change.
SB1, s. 3678
20Section
3678. 632.745 (6) (a) 2m. of the statutes is amended to read:
SB1,1422,2121
632.745
(6) (a) 2m. A
family long-term care district under s. 46.2895.
SB1, s. 3679
22Section
3679. 632.746 (7m) (b) 1. of the statutes is amended to read:
SB1,1422,2523
632.746
(7m) (b) 1. The employee or dependent is eligible for benefits under the
24Medical Assistance program under s.
49.471 or 49.472 or for coverage under the
25Badger Care health care program under s. 49.665.
SB1, s. 3685f
1Section 3685f. 632.857 of the statutes is created to read:
SB1,1423,8
2632.857 Explanation required for restriction or termination of
3coverage. If an insurer restricts or terminates an insured's coverage for the
4treatment of a condition or complaint and, as a result, the insured becomes liable for
5payment for all of his or her treatment for the condition or complaint, the insurer
6shall provide on the explanation of benefits form a detailed explanation of the clinical
7rationale and of the basis in the policy, plan, or contract or in applicable law for the
8insurer's restriction or termination of coverage.
SB1, s. 3686w
9Section 3686w. 632.875 (2) (g) of the statutes is amended to read:
SB1,1423,1210
632.875
(2) (g) A
reasonable detailed explanation of the
factual basis clinical
11rationale and of the basis in the policy, plan
, or contract or in applicable law for the
12insurer's restriction or termination of coverage.
SB1, s. 3687r
13Section 3687r. 632.895 (15) of the statutes is created to read:
SB1,1423,1514
632.895
(15) Treatment for autism spectrum disorders. (a) In this subsection,
15"autism spectrum disorder" means any of the following:
SB1,1423,1616
1. Autism disorder.
SB1,1423,1717
2. Asperger's syndrome.
SB1,1423,1818
3. Pervasive developmental disorder not otherwise specified.
SB1,1423,2219
(b) Except as provided in par. (d), every disability insurance policy, and every
20self-insured health plan of the state or a county, city, town, village, or school district,
21shall provide coverage for an insured of treatment for an autism spectrum disorder
22if the treatment is provided by any of the following:
SB1,1423,2323
1. A psychiatrist, as defined in s. 146.34 (1) (h).
SB1,1423,2424
2. A person who practices psychology, as described in s. 455.01 (5).
SB1,1424,2
13. A social worker, as defined in s. 252.15 (1) (er), who is certified or licensed
2to practice psychotherapy, as defined in s. 457.01 (8m).
SB1,1424,33
4. A speech-language pathologist, as defined in s. 459.20 (4).
SB1,1424,54
5. A paraprofessional working under the supervision of a provider listed under
5subds. 1. to 4.
SB1,1424,76
6. A professional working under the supervision of an outpatient mental health
7clinic certified under s. 51.038.
SB1,1424,108
(c) The coverage required under par. (b) may be subject to any limitations,
9exclusions, and cost-sharing provisions that apply generally under the disability
10insurance policy or self-insured health plan.
SB1,1424,1111
(d) This subsection does not apply to any of the following:
SB1,1424,1212
1. A disability insurance policy that covers only certain specified diseases.
SB1,1424,1513
2. A health care plan offered by a limited service health organization, as defined
14in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
15a defined network plan, as defined in s. 609.01 (1b).
SB1,1424,1616
3. A long-term care insurance policy.
SB1,1424,1717
4. A medicare replacement policy or a medicare supplement policy.
SB1, s. 3689
18Section
3689. 632.897 (10) (am) 2. of the statutes is amended to read:
SB1,1424,2219
632.897
(10) (am) 2. Provide family coverage under the group policy or
20individual policy for the individual's child, if eligible for coverage, upon application
21by the individual, the child's other parent, the department of
workforce development 22children and families or the county child support agency under s. 59.53 (5).
SB1, s. 3690
23Section
3690. 633.14 (1) (e) of the statutes is amended to read: