SB466: Bill Text

SB466,26,8 632.896 (1) (bg) "Insured" includes a person who participates in a self-insured health plan.

SB466, s. 74 Section 74. 632.896 (1) (bk) of the statutes is created to read:

SB466,26,12 632.896 (1) (bk) "Insurer" includes a city, town, village, county, or school district that provides a self-insured health plan, with respect to the self-insured health plan.

SB466, s. 75 Section 75. 632.896 (1) (d) of the statutes is created to read:

SB466,26,15 632.896 (1) (d) "Self-insured health plan" has the meaning given in s. 632.85 (1) (c) 2. and 3.

SB466, s. 76 Section 76. 632.896 (2) of the statutes is amended to read:

SB466,26,23 632.896 (2) Adopted or placed for adoption. Every disability insurance policy that is issued or renewed on or after March 1, 1991, and every self-insured health plan, that provides coverage for dependent children of the insured, as defined in the disability insurance policy or self-insured health plan, shall cover adopted children of the insured and children placed for adoption with the insured, on the same terms and conditions, including exclusions, limitations, deductibles and copayments, as other dependent children, except as provided in subs. (3) to (6).

SB466, s. 77 Section 77. 632.896 (3) (a) 2. of the statutes is amended to read:

SB466,27,3 632.896 (3) (a) 2. Subdivision 1. does not require coverage to begin before coverage is available under the disability insurance policy or self-insured health plan for other dependent children.

SB466, s. 78 Section 78. 632.896 (4) of the statutes is amended to read:

SB466,27,10 632.896 (4) Preexisting conditions. Notwithstanding ss. 632.746 and 632.76 (2) (a), a disability insurance policy or self-insured health plan, that is subject to sub. (2) and that is in effect when a court makes a final order granting adoption or when the child is placed for adoption may not exclude or limit coverage of a disease or physical condition of the child on the ground that the disease or physical condition existed before coverage is required to begin under sub. (3).

SB466, s. 79 Section 79. 632.896 (6) of the statutes is amended to read:

SB466,27,21 632.896 (6) Notice to insurer. The disability insurance policy or self-insured health plan may require the insured to notify the insurer that a child is adopted or placed for adoption and to pay the insurer any premium or fees required to provide coverage for the child, within 60 days after coverage is required to begin under sub. (3). If the insured fails to give notice or make payment within 60 days as required by the disability insurance policy or self-insured health plan in accordance with this subsection, the disability insurance policy or self-insured health plan shall treat the adopted child or child placed for adoption no less favorably than it treats other dependents, other than newborn children, who seek coverage at a time other than when the dependent was first eligible to apply for coverage.

SB466, s. 80 Section 80. 635.02 (3k) of the statutes is amended to read:

SB466,27,24 635.02 (3k) "Group health benefit plan" has the meaning given in s. 632.745 (9) (a) and (b).

SB466, s. 81 Section 81. 645.02 (8) of the statutes is created to read:

SB466,28,2 645.02 (8) A city, town, village, county, or school district that provides a self-insured health plan, with respect to the self-insured health plan.

SB466, s. 82 Section 82. 646.01 (1) (a) 3. of the statutes is created to read:

SB466,28,5 646.01 (1) (a) 3. A city, town, village, county, or school district that provides a self-insured health plan, with respect to the self-insured health plan.

SB466, s. 83 Section 83. 646.01 (1) (b) 9. of the statutes is amended to read:

SB466,28,11 646.01 (1) (b) 9. Any Except for a self-insured health plan of a city, town, village, county, or school district, any self-funded, self-insured, or partially or wholly uninsured plan of an employer or other person to provide life insurance, annuity, or disability benefits to its employees or members to the extent that the plan is self-funded, self-insured, or uninsured.

SB466, s. 84 Section 84. 646.03 (2q) of the statutes is created to read:

SB466,28,15 646.03 (2q) "Insurer" includes a city, village, town, county, or school district that provides a self-insured health plan, with respect to the self-insured health plan.

SB466, s. 85 Section 85. Initial applicability.

SB466,28,17 (1) This act first applies to the following:

SB466,28,20 (a) Except as provided in paragraph (b), self-insured governmental health plans provided by that are established, extended, modified, or renewed on the effective date of this paragraph.

SB466,28,24 (b) Self-insured governmental health plans covering employees who are affected by a collective bargaining agreement containing provisions inconsistent with this act that are established, extended, modified, or renewed on the earlier of the following:

SB466,28,25 1. The day on which the collective bargaining agreement expires.

SB466,29,2 2. The day on which the collective bargaining agreement is extended, modified, or renewed.

SB466, s. 86 Section 86. Effective date.

SB466,29,5 (1) This act takes effect on the first day of the 7th month beginning after publication.

SB466,29,6 (End)