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185.981
(4t) A sickness care plan operated by a cooperative association is
9subject to ss. 252.14, 631.89, 632.72 (2), 632.87 (2m), (3), (4) and (5), 632.895 (10)
and
10(11) and 632.897 (10) and ch. 155.
AB456, s. 10
11Section
10. 185.983 (1) (intro.) of the statutes is amended to read:
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185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
13exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
14601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
15(2), 632.775, 632.79, 632.795, 632.87 (2m), (3), (4) and (5), 632.895 (5)
, (9) and (10) 16and (9) to (11), 632.896 and 632.897 (10), subch. II of ch. 619 and chs. 609, 630, 635,
17645 and 646, but the sponsoring association shall:
AB456, s. 11
18Section
11. 632.895 (11) of the statutes is created to read:
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632.895
(11) Preventive pediatric health care services. (a) In this
20subsection:
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1. "Appropriate and necessary immunizations" means the administration of
22vaccine that meets the standards approved by the U.S. public health service for such
23biological products against at least all of the following:
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a. Diphtheria.
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b. Pertussis.
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h. Haemophilus influenza type b.
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i. Hepatitis B.
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j. Any other disease for which immunization is recommended by the American
9Academy of Pediatrics.
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2. "Dependent" has the meaning given in s. 635.02 (3c).
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3. "Preventive pediatric health care services" includes appropriate and
12necessary immunizations and such other services that are in accord with the
13prevailing medical standards of the American Academy of Pediatrics as physical
14examinations, developmental assessments, sensory screening, anticipatory
15guidance, initial dental referral and appropriate laboratory tests.
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(b) Except as provided in par. (d), every disability insurance policy, and every
17self-insured health plan of the state or a county, city, town, village or school district,
18that provides coverage for a dependent of the insured shall provide coverage of
19preventive pediatric health care services, from birth to the age of 19 years, for a
20dependent who is a child of the insured.
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(c) The coverage required under par. (b) may not be subject to any deductibles,
22copayments or coinsurance.
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(d) This subsection does not apply to any of the following:
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1. A disability insurance policy that covers only certain specified diseases.
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12. A health care plan offered by a limited service health organization, as defined
2in s. 609.01 (3).
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3. A long-term care insurance policy, as defined in s. 600.03 (28g).
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4. A medicare replacement policy, as defined in s. 600.03 (28p).
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5. A medicare supplement policy, as defined in s. 600.03 (28r).
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7(1) This act first applies to insurance policies that are issued or renewed, and
8self-insured health plans that are extended, modified or renewed under collective
9bargaining agreements, on the effective date of this subsection.
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11(1)
This act takes effect on the first day of the 5th month beginning after
12publication.
