LRBb0775/1
PJK:wlj:jf
2005 - 2006 LEGISLATURE
SENATE AMENDMENT 27,
TO 2005 ASSEMBLY BILL 100
June 29, 2005 - Offered by Senators Hansen, Miller, Robson, Risser, Breske,
Carpenter, Wirch, Plale and Coggs.
AB100-SA27,1,3
3"
Section 2430c. 632.89 (1) (am) of the statutes is created to read:
AB100-SA27,1,54
632.89
(1) (am) "Consumer price index" means the consumer price index for all
5urban consumers, U.S. city average, as determined by the U.S. department of labor.
AB100-SA27,1,127
632.89
(2) (b) 1. Except as provided in subd. 2., if a group or blanket disability
8insurance policy issued by an insurer provides coverage of inpatient hospital
9treatment or outpatient treatment or both, the policy shall provide coverage in every
10policy year as provided in pars. (c) to (dm), as appropriate, except that the total
11coverage under the policy for a policy year need not exceed
$7,000 $18,300 or the
12equivalent benefits measured in services rendered.
AB100-SA27,2,5
1632.89
(2) (c) 2. b.
Seven thousand Eighteen thousand three hundred dollars
2minus any applicable cost sharing at the level charged under the policy for inpatient
3hospital services or the equivalent benefits measured in services rendered or, if the
4policy does not use cost sharing,
$6,300 $16,500 in equivalent benefits measured in
5services rendered.
AB100-SA27,2,117
632.89
(2) (d) 2. Except as provided in par. (b), a policy under subd. 1. shall
8provide coverage in every policy year for not less than
$2,000 $3,100 minus any
9applicable cost sharing at the level charged under the policy for outpatient services
10or the equivalent benefits measured in services rendered or, if the policy does not use
11cost sharing,
$1,800 $2,800 in equivalent benefits measured in services rendered.
AB100-SA27,2,1813
632.89
(2) (dm) 2. Except as provided in par. (b), a policy under subd. 1. shall
14provide coverage in every policy year for not less than
$3,000 $4,700 minus any
15applicable cost sharing at the level charged under the policy for transitional
16treatment arrangements or the equivalent benefits measured in services rendered
17or, if the policy does not use cost sharing,
$2,700
$4,200 in equivalent benefits
18measured in services rendered.
AB100-SA27,2,2320
632.89
(2) (f)
Report on coverage limits. The department of health and family
21services shall report annually to the governor and the legislature on revising the
22coverage limits specified in this subsection based on the change in the consumer price
23index for medical costs.".
AB100-SA27,3,3
1"(1m)
Group insurance limits. The treatment of section 632.89 (1) (am) and
2(2) (b) 1., (c) 2. b., (d) 2., (dm) 2., and (f) of the statutes first applies to a policy issued,
3renewed, or modified on the first day of the 13th month beginning after publication.".