Amendment ASA1-AB63

AB63-ASA1,9,7 (a) Offer health care coverage under one or more plans to all of its permanent employes who have a normal work week of 30 or more hours and may offer health care coverage under one or more plans to any of its other employes.

AB63-ASA1,9,12 (b) Provide health care coverage under one or more plans to at least 50% of its permanent employes who have a normal work week of 30 or more hours and who do not otherwise receive health care coverage as a dependent under any other plan that is not offered by the employer or a percentage of such employes specified by the board, whichever percentage is greater.

AB63-ASA1,9,15 (c) Pay for each employe at least 50% but not more than 100% of the lowest premium rate that would be available to the employer for that employe's coverage under the health care coverage program.

AB63-ASA1,9,17 (d) Make premium payments for the health care coverage of its employes in the manner specified by the board.

AB63-ASA1,9,21 (4) Any employer that provides health care coverage for its employes under the program and that voluntarily terminates coverage under the program is not eligible to participate in the program for at least 3 years from the date that coverage is terminated.

AB63-ASA1,9,25 (5) Any insurer that offers a health care coverage plan under the health care coverage program shall provide coverage under the plan to any employer that applies for coverage, and to all of the employer's employes who elect coverage under the health care coverage plan, without regard to the health condition or claims experience of any individual who would be covered under the health care coverage plan if all of the following apply:

AB63-ASA1,10,4 (a) The employer agrees to pay the premium required for coverage under the health care coverage plan.

AB63-ASA1,10,7 (b) The employer agrees to comply with all provisions of the health care coverage plan that apply generally to a policyholder or an insured without regard to health condition or claims experience.

AB63-ASA1,10,9 (6) (a) Health care coverage under the health care coverage program may only be sold by insurance agents licensed under ch. 628.

AB63-ASA1,10,13 (b) An insurance agent may not sell any health care coverage under the health care coverage program on behalf of an insurer unless he or she is employed by the insurer or has a contract with the insurer to sell the health care coverage on behalf of the insurer.

AB63-ASA1,10,18 (c) The board shall set, and may adjust as often as semiannually, the commission rate for the sale of a policy under the health care coverage program. The rate shall be based on the average commission rate that insurance agents are paid in the state for the sale of comparable health insurance policies at the time that the rate is set or adjusted.

AB63-ASA1,10,20 (d) An insurer shall specify on the first page of any policy sold under the health care coverage program the amount of the commission paid to the insurance agent.

AB63-ASA1,11,2 (7) (a) Annually, on or before December 31, the board shall submit a report to the appropriate standing committees under s. 13.172 (3) and to the governor on the operation of the health care coverage program. The report shall specify the number of employers and employes participating in the health care coverage program, calculate the costs of the health care coverage program to employers and their employes and include recommendations for improving the health care coverage program.

AB63-ASA1,11,11 (b) No later than January 1, 2008, the board shall submit a report to the appropriate standing committees under s. 13.172 (3) and to the governor that offers recommendations as to whether the department should continue to be involved in the design, marketing and contracting for administrative services for the health care coverage program. If the board recommends that the department not be involved in the performance of these functions, the board shall submit proposed legislation eliminating the department's involvement in the performance of these functions to the appropriate standing committees under s. 13.172 (3) at the time that the board submits its report.

AB63-ASA1, s. 21 Section 21. Subchapter X of chapter 40 [precedes 40.98] of the statutes, as created by 1999 Wisconsin Act .... (this act), is repealed.

AB63-ASA1, s. 22 Section 22 . Nonstatutory provisions.

AB63-ASA1,11,18 (1) Private employer health care coverage board. Notwithstanding the length of terms specified for the members of the private employer health care coverage board under section 15.165 (5) of the statutes, as created by this act, the initial members shall be appointed for the following terms:

AB63-ASA1,11,20 (a) The members specified under section 15.165 (5) (a) 1., 3. and 7. of the statutes, as created by this act, for terms expiring on May 1, 2002.

AB63-ASA1,11,22 (b) The members specified under section 15.165 (5) (a) 2. and 5. of the statutes, as created by this act, for terms expiring on May 1, 2003.

AB63-ASA1,11,24 (c) The members specified under section 15.165 (5) (a) 4. and 6. of the statutes, as created by this act, for terms expiring on May 1, 2004.

AB63-ASA1,12,7 (2) Position authorizations for the department of employe trust funds. The authorized FTE positions for the department of employe trust funds are increased by 3.5 GPR positions on the effective date of this subsection, to be funded from the appropriation under section 20.515 (2) (a) of the statutes, as created by this act, for the purpose of designing and contracting for administrative services for the private employer health care coverage program under subchapter X of chapter 40 of the statutes, as created by this act.

AB63-ASA1,12,8 (3) Grant for administration of program.

AB63-ASA1,12,9 (a) In this subsection:

AB63-ASA1,12,11 1. "Administrator" means the administrator selected by the department under section 40.98 (2) (a) 2. of the statutes, as created by this act.

AB63-ASA1,12,12 2. "Department" means the department of employe trust funds.

AB63-ASA1,12,13 3. "Secretary" means the secretary of employe trust funds.

AB63-ASA1,12,18 (b) The department shall make a grant of $200,000 from the appropriation under section 20.515 (2) (b) of the statutes, as created by this act, to the administrator for costs associated with administering the health care coverage plans under the program under subchapter X of chapter 40 of the statutes, as created by this act, if all of the following apply:

AB63-ASA1,12,20 1. The administrator submits a plan to the department detailing the proposed use of the grant and the secretary approves the plan.

AB63-ASA1,12,23 2. The administrator enters into a written agreement with the department that specifies the conditions for use of the grant proceeds, including reporting and auditing requirements.

AB63-ASA1,12,25 3. The administrator agrees in writing to submit to the department the report required under paragraph (c) by the time required under paragraph (c).

AB63-ASA1,13,3 (c) If the administrator receives a grant under this subsection, the administrator shall submit to the department, within 6 months after spending the full amount of the grant, a report detailing how the grant proceeds were used.

AB63-ASA1, s. 23 Section 23. Effective dates. This act takes effect on the day after publication, except as follows:

AB63-ASA1,13,7 (1) The amendment of section 40.02 (26) (intro.) (by Section 17) and (28) (by Section 19) of the statutes takes effect on January 1, 2010.

AB63-ASA1,13,10 (2) The repeal of sections 13.94 (1) (p), 15.07 (1) (b) 21., 15.165 (5) and 20.515 (2) (title), (a) and (g) and subchapter X of chapter 40 of the statutes takes effect on January 1, 2010.

AB63-ASA1,13,12 (3) The repeal of section 20.515 (2) (b) of the statutes takes effect on June 30, 2002.

AB63-ASA1,13,13 (End)