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:
SB1,1425,224
633.14
(1) (e) If an individual who does not have a social security number,
25provides on a form prescribed by the department of
workforce development children
1and families a statement made or subscribed under oath or affirmation that he or she
2does not have a social security number.
SB1, s. 3691
3Section
3691. 633.14 (2c) (a) of the statutes is amended to read:
SB1,1425,74
633.14
(2c) (a) The commissioner shall disclose a social security number
5obtained under sub. (1) (d) to the department of
workforce development children and
6families in the administration of s. 49.22, as provided in a memorandum of
7understanding entered into under s. 49.857.
SB1, s. 3692
8Section
3692. 633.14 (2m) (a) of the statutes is amended to read:
SB1,1425,179
633.14
(2m) (a) Notwithstanding sub. (1), the commissioner may not issue a
10license under this section if the individual applying for the license is delinquent in
11court-ordered payments of child or family support, maintenance, birth expenses,
12medical expenses or other expenses related to the support of a child or former spouse,
13or if the individual fails to comply, after appropriate notice, with a subpoena or
14warrant issued by the department of
workforce development children and families 15or a county child support agency under s. 59.53 (5) and related to paternity or child
16support proceedings, as provided in a memorandum of understanding entered into
17under s. 49.857.
SB1, s. 3693
18Section
3693. 633.15 (1m) of the statutes is amended to read:
SB1,1426,519
633.15
(1m) Social security number, federal employer identification
20number or statement. At an annual renewal, an administrator shall provide his or
21her social security number, if the administrator is an individual unless he or she does
22not have a social security number, or its federal employer identification number, if
23the administrator is a corporation, limited liability company or partnership, if the
24social security number or federal employer identification number was not previously
25provided on the application for the license or at a previous renewal of the license. If
1an administrator who is an individual does not have a social security number, the
2individual shall provide to the commissioner, at each annual renewal and on a form
3prescribed by the department of
workforce development
children and families, a
4statement made or subscribed under oath or affirmation that the administrator does
5not have a social security number.
SB1, s. 3694
6Section
3694. 633.15 (2) (c) of the statutes is amended to read:
SB1,1426,167
633.15
(2) (c)
Failure to pay support or to comply with subpoena or warrant. 8The commissioner shall suspend, limit or refuse to renew a license issued under this
9section to an individual if the individual is delinquent in court-ordered payments of
10child or family support, maintenance, birth expenses, medical expenses or other
11expenses related to the support of a child or former spouse, or if the individual fails
12to comply, after appropriate notice, with a subpoena or warrant issued by the
13department of
workforce development children and families or a county child
14support agency under s. 59.53 (5) and related to paternity or child support
15proceedings, as provided in a memorandum of understanding entered into under s.
1649.857.
SB1, s. 3695
17Section
3695. 645.09 (2) (a) of the statutes is amended to read:
SB1,1427,218
645.09
(2) (a)
Causes of delinquency. The commissioner may include in his or
19her annual report, not later than the 2nd annual report following the initiation of any
20formal proceedings under this chapter, a detailed analysis of the basic causes and the
21contributing factors making the initiation of formal proceedings necessary, and may
22make recommendations for remedial legislation. For this purpose the commissioner
23may appoint a special assistant qualified in insurance, finance
, and accounting to
24conduct the study and prepare the analysis, and may determine the special
1assistant's compensation, which shall be paid from the appropriation under s. 20.145
2(1) (g)
1.
SB1, s. 3696
3Section
3696. 645.09 (2) (b) of the statutes is amended to read:
SB1,1427,124
645.09
(2) (b)
Final study. The commissioner may include in his or her annual
5report, not later than the 2nd annual report following discharge of the receiver, a
6detailed study of the delinquency proceeding for each insurer subjected to a formal
7proceeding, with an analysis of the problems faced and their solutions. The
8commissioner may also suggest alternative solutions, as well as other material of
9interest, for the purpose of assisting and guiding liquidators or rehabilitators in the
10future. For this purpose the commissioner may appoint a special assistant qualified
11to conduct the study and prepare the analysis, and may determine his or her
12compensation, which shall be paid from the appropriation under s. 20.145 (1) (g)
1.
SB1, s. 3697
13Section
3697. 645.46 (4) of the statutes is amended to read:
SB1,1427,2014
645.46
(4) Defray all expenses of taking possession of, conserving, conducting,
15liquidating, disposing of
, or otherwise dealing with the business and property of the
16insurer. If the property of the insurer does not contain sufficient cash or liquid assets
17to defray the costs incurred, the liquidator may advance the costs so incurred out of
18the appropriation under s. 20.145 (1) (g)
1. Any amounts so paid shall be deemed
19expense of administration and shall be repaid for the credit of the office of the
20commissioner of insurance out of the first available moneys of the insurer.
SB1, s. 3698
21Section
3698. 647.02 (2) (g) of the statutes is amended to read:
SB1,1427,2522
647.02
(2) (g) The figure to be used by the provider as the actual or projected
23length of a resident's stay in the facility in the formula in the contract provision
24required under s. 647.05
(9) (1m) (i) and supporting information showing how the
25figure was determined.
SB1, s. 3699
1Section
3699. 647.04 (5) of the statutes is amended to read:
SB1,1428,62
647.04
(5) Inform the commissioner of any change in the figure used by the
3provider as the actual or projected length of a resident's stay in the facility in the
4formula in the contract provision required under s. 647.05
(9) (1m) (i) within 30 days
5after the change is made and submit supporting information showing how the
6change was determined.
SB1, s. 3700
7Section
3700. 647.05 of the statutes is renumbered 647.05 (1m), and 647.05
8(1m) (g), as renumbered, is amended to read:
SB1,1428,129
647.05
(1m) (g) Provides that if a resident dies or the continuing care contract
10is terminated after the first 30 days of occupancy, but within the first 90 days of
11occupancy, the provider will refund at least 90% of the amount computed under
sub.
12(6) par. (f).
SB1, s. 3701
13Section
3701. 647.05 (2m) of the statutes is created to read:
SB1,1428,1614
647.05
(2m) Subject to s. 49.455, a continuing care contract may require that,
15before a resident applies for medical assistance, the resident must spend on his or
16her care the resources declared for purposes of admission to the facility.
SB1, s. 3702
17Section
3702. 655.27 (2) of the statutes is amended to read:
SB1,1429,618
655.27
(2) Fund administration and operation. Management of the fund shall
19be vested with the board of governors. The commissioner shall either provide staff
20services necessary for the operation of the fund or, with the approval of the board of
21governors, contract for all or part of these services. Such a contract is subject to ss.
2216.753 and 16.765, but is otherwise exempt from subch. IV of ch. 16. The
23commissioner shall adopt rules governing the procedures for creating and
24implementing these contracts before entering into the contracts. At least annually,
25the contractor shall report to the commissioner and to the board of governors
1regarding all expenses incurred and subcontracting arrangements. If the board of
2governors approves, the contractor may hire legal counsel as needed to provide staff
3services. The cost of contracting for staff services shall be funded from the
4appropriation under s. 20.145 (2) (u).
The fund shall pay to the commissioner
5amounts charged for organizational support services, which shall be credited to the
6appropriation account under s. 20.145 (1) (g) 2.
SB1, s. 3703
7Section
3703. 701.06 (5) (intro.) of the statutes is amended to read:
SB1,1429,148
701.06
(5) Claims for public support. (intro.) Notwithstanding any provision
9in the creating instrument or subs. (1) and (2), if the settlor is legally obligated to pay
10for the public support of a beneficiary under s. 46.10
, 49.345, or 301.12 or the
11beneficiary is legally obligated to pay for the beneficiary's public support or that
12furnished the beneficiary's spouse or minor child under s. 46.10
, 49.345, or 301.12,
13upon application by the appropriate state department or county official, the court
14may:
SB1, s. 3703g
15Section 3703g. 703.02 (10) of the statutes is amended to read:
SB1,1429,1816
703.02
(10) "Limited common
elements" mean those element" means a common
17elements element identified in a declaration or on a condominium plat as reserved
18for the exclusive use of one or more but less than all of the unit owners.
SB1, s. 3703r
19Section 3703r. 703.38 (1) of the statutes is amended to read:
SB1,1429,2420
703.38
(1) Except as otherwise provided in this section
and s. 30.1335, this
21chapter is applicable to all condominiums, whether established before or after
22August 1, 1978. However, with respect to condominiums existing on August 1, 1978,
23the declaration, bylaws or condominium plat need not be amended to comply with
24the requirements of this chapter.