SB136,2,1411 60.23 (25) Self-insured health plans. Provide health care benefits to its
12officers and employes on a self-insured basis if the self-insured plan complies with
13ss. 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85,
14632.853, 632.855, 632.87 (4) and (5), 632.895 (9) and (11) to (13) (14) and 632.896.
SB136, s. 4 15Section 4. 66.184 of the statutes is amended to read:
SB136,3,2 1666.184 Self-insured health plans. If a city, including a 1st class city, or a
17village provides health care benefits under its home rule power, or if a town provides
18health care benefits, to its officers and employes on a self-insured basis, the
19self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
20632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4) and (5),

1632.895 (9) to (13) (14), 632.896, 767.25 (4m) (d), 767.51 (3m) (d) and 767.62 (4) (b)
24.
SB136, s. 5 3Section 5. 111.91 (2) (n) of the statutes is amended to read:
SB136,3,54 111.91 (2) (n) The provision to employes of the health insurance coverage
5required under s. 632.895 (11) to (13) (14).
SB136, s. 6 6Section 6. 120.13 (2) (g) of the statutes is amended to read:
SB136,3,107 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
849.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
9632.85, 632.853, 632.855, 632.87 (4) and (5), 632.895 (9) to (13) (14), 632.896, 767.25
10(4m) (d), 767.51 (3m) (d) and 767.62 (4) (b) 4.
SB136, s. 7 11Section 7. 185.981 (4t) of the statutes is amended to read:
SB136,3,1512 185.981 (4t) A sickness care plan operated by a cooperative association is
13subject to ss. 252.14, 631.89, 632.72 (2), 632.745 to 632.749, 632.85, 632.853, 632.855,
14632.87 (2m), (3), (4) and (5), 632.895 (10) to (13) (14) and 632.897 (10) and chs. 149
15and 155.
SB136, s. 8 16Section 8. 185.983 (1) (intro.) of the statutes is amended to read:
SB136,3,2217 185.983 (1) (intro.) Every such voluntary nonprofit sickness care plan shall be
18exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
19601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
20(2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853, 632.855, 632.87
21(2m), (3), (4) and (5), 632.895 (5) and (9) to (13) (14), 632.896 and 632.897 (10) and
22chs. 609, 630, 635, 645 and 646, but the sponsoring association shall:
SB136, s. 9 23Section 9. 609.88 of the statutes is created to read:
SB136,3,25 24609.88 Coverage of immunizations. Managed care plans are subject to s.
25632.895 (14).
SB136, s. 10
1Section 10. 632.895 (14) of the statutes is created to read:
SB136,4,22 632.895 (14) Coverage of immunizations. (a) In this subsection:
SB136,4,53 1. "Appropriate and necessary immunizations" means the administration of
4vaccine that meets the standards approved by the U.S. public health service for such
5biological products against at least all of the following:
SB136,4,66 a. Diphtheria.
SB136,4,77 b. Pertussis.
SB136,4,88 c. Tetanus.
SB136,4,99 d. Polio.
SB136,4,1010 e. Measles.
SB136,4,1111 f. Mumps.
SB136,4,1212 g. Rubella.
SB136,4,1313 h. Hemophilus influenza B.
SB136,4,1414 i. Hepatitis B.
SB136,4,1815 2. "Dependent" means a spouse, an unmarried child under the age of 19 years,
16an unmarried child who is a full-time student under the age of 21 years and who is
17financially dependent upon the parent, or an unmarried child of any age who is
18medically certified as disabled and who is dependent upon the parent.
SB136,4,2319 (b) Except as provided in par. (d), every disability insurance policy, and every
20self-insured health plan of the state or a county, city, town, village or school district,
21that provides coverage for a dependent of the insured shall provide coverage of
22appropriate and necessary immunizations, from birth to the age of 2 years, for a
23dependent who is a child of the insured.
SB136,5,324 (c) The coverage required under par. (b) may not be subject to any deductibles,
25copayments or coinsurance under the policy or plan. This paragraph applies to a

1managed care plan, as defined in s. 609.01 (3c), only with respect to appropriate and
2necessary immunizations provided by providers participating, as defined in s. 609.01
3(3m), in the plan.
SB136,5,44 (d) This subsection does not apply to any of the following:
SB136,5,55 1. A disability insurance policy that covers only certain specified diseases.
SB136,5,66 2. A disability insurance policy that covers only hospital and surgical charges.
SB136,5,97 3. A health care plan offered by a limited service health organization, as defined
8in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
9a managed care plan, as defined in s. 609.01 (3c).
SB136,5,1010 4. A long-term care insurance policy, as defined in s. 600.03 (28g).
SB136,5,1111 5. A medicare replacement policy, as defined in s. 600.03 (28p).
SB136,5,1212 6. A medicare supplement policy, as defined in s. 600.03 (28r).
SB136, s. 11 13Section 11 . Initial applicability.
SB136,5,1414 (1) This act first applies to first applies to all of the following:
SB136,5,1715 (a) Except as provided in paragraphs (b) and (c), disability insurance policies
16that are issued or renewed, and self-insured health plans that are established,
17extended, modified or renewed, on the effective date of this paragraph.
SB136,5,2018 (b) Disability insurance policies covering employes who are affected by a
19collective bargaining agreement containing provisions inconsistent with this act
20that are issued or renewed on the earlier of the following:
SB136,5,21 211. The day on which the collective bargaining agreement expires.
SB136,5,23 222. The day on which the collective bargaining agreement is extended, modified
23or renewed.
SB136,6,3
1(c) Self-insured health plans covering employes who are affected by a collective
2bargaining agreement containing provisions inconsistent with this act that are
3established, extended, modified or renewed on the earlier of the following:
SB136,6,4 41. The day on which the collective bargaining agreement expires.
SB136,6,6 52. The day on which the collective bargaining agreement is extended, modified
6or renewed.
SB136, s. 12 7Section 12. Effective date.
SB136,6,98 (1) This act takes effect on the first day of the 6th month beginning after
9publication.
SB136,6,1010 (End)
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