LRB-1014/2
PJK:kmg&jlg:arm
1997 - 1998 LEGISLATURE
April 9, 1997 - Introduced by Representatives Ott, Urban, Hutchison, Porter,
Brandemuehl, Kreuser and Owens, cosponsored by Senator A. Lasee.
Referred to Committee on Small Business and Economic Development.
AB257,1,2
1An Act to repeal 632.797 (2); and
to amend 632.797 (1) (a) and 632.797 (3) of
2the statutes;
relating to: disclosure of group health claims experience.
Analysis by the Legislative Reference Bureau
Under current law, an insurer is required to provide to the policyholder of a
group health insurance policy written by the insurer, upon the policyholder's
request, the policyholder's aggregate group health claims experience for the current
policy period and for up to 2 immediately preceding policy periods, but not for any
period of time before 18 months before the request is made. This requirement does
not apply, however, if fewer than 50 persons are covered under the policy. This bill
removes the limitation related to the number of persons covered under the policy, so
that any policyholder of a group health insurance policy, regardless of the size of the
group, may obtain its own aggregate group health claims experience upon request.
The bill also increases the maximum period of time for which an insurer may be
required to provide the health claims experience information from 18 months before
the request for information is made to 24 months before such a request.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB257, s. 1
3Section
1. 632.797 (1) (a) of the statutes is amended to read:
AB257,2,54
632.797
(1) (a) Except as provided in
subs. (2) and sub. (3), an insurer shall
5provide the policyholder of a group or blanket disability insurance policy, or an
1employer that provides health care coverage to its employes through a
2multiple-employer trust, with the policyholder's or the employer's aggregate group
3health claims experience for the current policy period, and for up to 2 policy periods
4immediately preceding the current policy period if the insurer provided coverage
5during those periods, upon request from the policyholder or employer.
AB257, s. 2
6Section
2. 632.797 (2) of the statutes is repealed.
AB257, s. 3
7Section
3. 632.797 (3) of the statutes is amended to read:
AB257,2,108
632.797
(3) Notwithstanding sub. (1), an insurer is not required to provide
9health claims experience under sub. (1) for any period of time that is before
18 24 10months before the date on which the information is requested.
