SB417, s. 2 15Section 2. 149.14 (5m) of the statutes is created to read:
SB417,3,1816 149.14 (5m) Premium rates. For the coverage required under this section, the
17premium rates charged to eligible persons with coverage under sub. (2) (b) shall be
18determined on the basis of the following factors:
SB417,3,2319 (a) A comparison between the average per capita amount of covered expenses
20paid by the plan in the previous calendar year on behalf of eligible persons with
21coverage under sub. (2) (b) and the average per capita amount of covered expenses
22paid by the plan in the previous calendar year on behalf of eligible persons with
23coverage under sub. (2) (a).
SB417,3,2424 (b) The enrollment levels of eligible persons with coverage under sub. (2) (b).
SB417,4,2
1(c) Other economic factors that the department and the board consider
2relevant.
SB417, s. 3 3Section 3. 149.143 (1) (b) 1. a. of the statutes, as affected by 1999 Wisconsin
4Act 9
, is amended to read:
SB417,4,135 149.143 (1) (b) 1. a. First, from premiums from eligible persons with coverage
6under s. 149.14 (2) (a) set at 150% of the rate that a standard risk would be charged
7under an individual policy providing substantially the same coverage and
8deductibles as are provided under the plan and from eligible persons with coverage
9under s. 149.14 (2) (b) set in accordance with s. 149.14 (5m)
, including amounts
10received for premium and deductible subsidies under s. 149.144 and under the
11transfer to the fund from the appropriation account under s. 20.435 (4) (ah), and from
12premiums collected from eligible persons with coverage under s. 149.146 set in
13accordance with s. 149.146 (2) (b).
SB417, s. 4 14Section 4. 149.143 (1) (b) 1. c. of the statutes, as affected by 1999 Wisconsin
15Act 9
, is amended to read:
SB417,5,216 149.143 (1) (b) 1. c. Third, by increasing premiums from eligible persons with
17coverage under s. 149.14 (2) (a) to more than 150% but not more than 200% of the rate
18that a standard risk would be charged under an individual policy providing
19substantially the same coverage and deductibles as are provided under the plan and
20from eligible persons with coverage under s. 149.14 (2) (b) by a comparable amount
21in accordance with s. 149.14 (5m)
, including amounts received for premium and
22deductible subsidies under s. 149.144 and under the transfer to the fund from the
23appropriation account under s. 20.435 (4) (ah), and by increasing premiums from
24eligible persons with coverage under s. 149.146 in accordance with s. 149.146 (2) (b),

1to the extent that the amounts under subd. 1. a. and b. are insufficient to pay 60%
2of plan costs.
SB417, s. 5 3Section 5. 149.143 (2) (a) 2. of the statutes is amended to read:
SB417,5,94 149.143 (2) (a) 2. After making the determinations under subd. 1., by rule set
5premium rates for the new plan year, including the rates under s. 149.146 (2) (b), in
6the manner specified in sub. (1) (b) 1. a. and c. and such that a rate for coverage under
7s. 149.14 (2) (a) is not less than 150% nor more than 200% of the rate that a standard
8risk would be charged under an individual policy providing substantially the same
9coverage and deductibles as are provided under the plan.
SB417, s. 6 10Section 6. 149.143 (2m) (b) 1. of the statutes, as created by 1999 Wisconsin Act
119
, is amended to read:
SB417,5,1612 149.143 (2m) (b) 1. To reduce premiums in succeeding plan years as provided
13in sub. (1) (b) 1. b. For eligible persons with coverage under s. 149.14 (2) (a),
14premiums may not be reduced below 150% of the rate that a standard risk would be
15charged under an individual policy providing substantially the same coverage and
16deductibles as are provided under the plan.
SB417, s. 7 17Section 7. 149.146 (2) (b) (intro.) of the statutes is amended to read:
SB417,5,2218 149.146 (2) (b) (intro.) The schedule of premiums for coverage under this
19section shall be promulgated by rule by the department, as provided in s. 149.143.
20The rates for coverage under this section shall be set such that they differ from the
21rates for coverage under s. 149.14 (2) (a) by the same percentage as the percentage
22difference between the following:
SB417, s. 8 23Section 8. 149.146 (2) (b) 1. of the statutes is amended to read:
SB417,6,3
1149.146 (2) (b) 1. The rate that a standard risk would be charged under an
2individual policy providing substantially the same coverage and deductibles as
3provided under s. 149.14 (2) (a) and (5) (a).
SB417, s. 9 4Section 9. 149.165 (1) of the statutes is amended to read:
SB417,6,85 149.165 (1) Except as provided in s. 149.146 (2) (a), the department shall
6reduce the premiums established under s. 149.11 in conformity with ss. 149.14 (5m),
7149.143 and 149.17, for the eligible persons and in the manner set forth in subs. (2)
8and (3).
SB417, s. 10 9Section 10. 149.165 (2) (intro.) of the statutes, as affected by 1999 Wisconsin
10Act 9
, is renumbered 149.165 (2) (a) (intro.) and amended to read:
SB417,6,1511 149.165 (2) (a) (intro.) Subject to sub. (3m), if the household income, as defined
12in s. 71.52 (5) and as determined under sub. (3), of an eligible person with coverage
13under s. 149.14 (2) (a)
is equal to or greater than the first amount and less than the
142nd amount listed in any of the following, the department shall reduce the premium
15for the eligible person to the rate shown after the amounts:
SB417, s. 11 16Section 11. 149.165 (2) (a) of the statutes is renumbered 149.165 (2) (a) 1. and
17amended to read:
SB417,6,2118 149.165 (2) (a) 1. If equal to or greater than $0 and less than $10,000, to 100%
19of the rate that a standard risk would be charged under an individual policy
20providing substantially the same coverage and deductibles as provided under the
21plan
s. 149.14 (2) (a) and (5) (a).
SB417, s. 12 22Section 12. 149.165 (2) (b) of the statutes is renumbered 149.165 (2) (a) 2. and
23amended to read:
SB417,7,224 149.165 (2) (a) 2. If equal to or greater than $10,000 and less than $14,000, to
25106.5% of the rate that a standard risk would be charged under an individual policy

1providing substantially the same coverage and deductibles as provided under the
2plan
s. 149.14 (2) (a) and (5) (a).
SB417, s. 13 3Section 13. 149.165 (2) (bc) of the statutes is created to read:
SB417,7,124 149.165 (2) (bc) Subject to sub. (3m), if the household income, as defined in s.
571.52 (5) and as determined under sub. (3), of an eligible person with coverage under
6s. 149.14 (2) (b) is equal to or greater than the first amount and less than the 2nd
7amount listed in par. (a) 1., 2., 3., 4. or 5., the department shall reduce the premium
8established for the eligible person by the same percentage as the department
9reduces, under par. (a), the premium established for an eligible person with coverage
10under s. 149.14 (2) (a) who has a household income specified in the same subdivision
11under par. (a) as the household income of the eligible person with coverage under s.
12149.14 (2) (b).
SB417, s. 14 13Section 14. 149.165 (2) (c) of the statutes is renumbered 149.165 (2) (a) 3. and
14amended to read:
SB417,7,1815 149.165 (2) (a) 3. If equal to or greater than $14,000 and less than $17,000, to
16115.5% of the rate that a standard risk would be charged under an individual policy
17providing substantially the same coverage and deductibles as provided under the
18plan
s. 149.14 (2) (a) and (5) (a).
SB417, s. 15 19Section 15. 149.165 (2) (d) of the statutes is renumbered 149.165 (2) (a) 4. and
20amended to read:
SB417,7,2421 149.165 (2) (a) 4. If equal to or greater than $17,000 and less than $20,000, to
22124.5% of the rate that a standard risk would be charged under an individual policy
23providing substantially the same coverage and deductibles as provided under the
24plan
s. 149.14 (2) (a) and (5) (a).
SB417, s. 16
1Section 16. 149.165 (2) (e) of the statutes, as created by 1999 Wisconsin Act
29
, is renumbered 149.165 (2) (a) 5. and amended to read:
SB417,8,63 149.165 (2) (a) 5. If equal to or greater than $20,000 and less than $25,000, to
4130% of the rate that a standard risk would be charged under an individual policy
5providing substantially the same coverage and deductibles as provided under the
6plan
s. 149.14 (2) (a) and (5) (a).
SB417, s. 17 7Section 17. 149.165 (3m) of the statutes, as created by 1999 Wisconsin Act 9,
8is amended to read:
SB417,8,129 149.165 (3m) The board may approve adjustment of the household income
10dollar amounts listed in sub. (2) (a) to (e) 1. to 5., except for the first dollar amount
11listed in sub. (2) (a) 1., to reflect changes in the consumer price index for all urban
12consumers, U.S. city average, as determined by the U.S. department of labor.
SB417, s. 18 13Section 18. 149.17 (1) of the statutes is amended to read:
SB417,8,1514 149.17 (1) Subject to ss. 149.14 (5m), 149.143 and 149.146 (2) (b), a rating plan
15calculated in accordance with generally accepted actuarial principles.
SB417,8,1616 (End)
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