2003 WISCONSIN ACT
An Act to amend 632.745 (9), 635.01 and 635.02 (8) of the statutes; relating to: the definition of a group health benefit plan.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB322, s. 1
Section
1. 632.745 (9) of the statutes is amended to read:
632.745 (9) "Group health benefit plan" means a health benefit plan that is issued by an insurer to or through an employer on behalf of a group consisting of covering at least 2 employees or a group including at least 2 eligible employees. The term includes individual of that employer or health benefit plans covering eligible employees when issued to 3 or more are sold to or through an employees of the same employer, but only if the employer pays, or reimburses the employees, for all or a portion of the premiums.
SB322, s. 2
Section
2. 635.01 of the statutes is amended to read:
635.01 Scope. This chapter applies to all group health insurance benefit plans,
policies or certificates, written on risks or operations in this state, providing coverage for employees of a small employer, or employees of a small employer and the employer, and to individual health insurance policies, written on risks or operations in this state, providing coverage for employees of a small employer, or employees of a small employer and the employer when 3 or more are sold to or through a small employer.
SB322, s. 3
Section
3. 635.02 (8) of the statutes is amended to read:
635.02 (8) "Small employer insurer" means an insurer that is authorized to do business in this state, in one or more lines of insurance that includes health insurance, and that offers group health benefit plans covering eligible, providing coverage for employees of one or more small employers in this state, or that sells 3 or more individual health benefit plans to a small employer, covering eligible employees of the small employer. The term includes a health maintenance organization, as defined in s. 609.01 (2), a preferred provider plan, as defined in s. 609.01 (4), and an insurer operating as a cooperative association organized under ss. 185.981 to 185.985, but does not include a limited service health organization, as defined in s. 609.01 (3).
