SB273, s. 17 14Section 17. 16.528 (1) (a) of the statutes, as affected by 2011 Wisconsin Act 10,
15is amended to read:
SB273,10,2116 16.528 (1) (a) "Agency" means an office, department, independent agency,
17institution of higher education, association, society, or other body in state
18government created or authorized to be created by the constitution or any law, that
19is entitled to expend moneys appropriated by law, including the legislature and the
20courts, but not including an authority created in subch. II of ch. 114 or, subch. III of
21ch. 149, or subch. III of ch. 636 or in ch. 231, 233, 234, 237, 238, or 279.
SB273, s. 18 22Section 18. 16.53 (2) of the statutes, as affected by 2011 Wisconsin Act 10, is
23amended to read:
SB273,11,724 16.53 (2) Improper invoices. If an agency receives an improperly completed
25invoice, the agency shall notify the sender of the invoice within 10 working days after

1it receives the invoice of the reason it is improperly completed. In this subsection,
2"agency" means an office, department, independent agency, institution of higher
3education, association, society, or other body in state government created or
4authorized to be created by the constitution or any law, that is entitled to expend
5moneys appropriated by law, including the legislature and the courts, but not
6including an authority created in subch. II of ch. 114 or , subch. III of ch. 149, or subch.
7III of ch. 636
or in ch. 231, 233, 234, 237, 238, or 279.
SB273, s. 19 8Section 19. 16.54 (9) (a) 1. of the statutes, as affected by 2011 Wisconsin Act
910
, is amended to read:
SB273,11,1510 16.54 (9) (a) 1. "Agency" means an office, department, independent agency,
11institution of higher education, association, society or other body in state
12government created or authorized to be created by the constitution or any law, which
13is entitled to expend moneys appropriated by law, including the legislature and the
14courts, but not including an authority created in subch. II of ch. 114 or, subch. III of
15ch. 149, or subch. III of ch. 636 or in ch. 231, 233, 234, 237, 238, or 279.
SB273, s. 20 16Section 20. 16.70 (2) of the statutes, as affected by 2011 Wisconsin Act 10, is
17amended to read:
SB273,11,1918 16.70 (2) "Authority" means a body created under subch. II of ch. 114 or, subch.
19III of ch. 149, or subch. III of ch. 636 or under ch. 231, 232, 233, 234, 235, 237, or 279.
SB273, s. 21 20Section 21. 16.72 (2) (e) (intro.) of the statutes is amended to read:
SB273,12,621 16.72 (2) (e) (intro.) In writing the specifications under this subsection, the
22department and any other designated purchasing agent under s. 16.71 (1) shall
23incorporate requirements for the purchase of products made from recycled materials
24and recovered materials if their use is technically and economically feasible. Each
25authority other than the University of Wisconsin Hospitals and Clinics Authority,

1the Lower Fox River Remediation Authority, the Badger Health Benefit Authority,
2and the Health Insurance Risk-Sharing Plan Authority, in writing specifications for
3purchasing by the authority, shall incorporate requirements for the purchase of
4products made from recycled materials and recovered materials if their use is
5technically and economically feasible. The specifications shall include requirements
6for the purchase of the following materials:
SB273, s. 22 7Section 22. 16.72 (2) (f) of the statutes is amended to read:
SB273,12,188 16.72 (2) (f) In writing specifications under this subsection, the department,
9any other designated purchasing agent under s. 16.71 (1), and each authority other
10than the University of Wisconsin Hospitals and Clinics Authority, the Lower Fox
11River Remediation Authority, the Badger Health Benefit Authority, and the Health
12Insurance Risk-Sharing Plan Authority shall incorporate requirements relating to
13the recyclability and ultimate disposition of products and, wherever possible, shall
14write the specifications so as to minimize the amount of solid waste generated by the
15state, consistent with the priorities established under s. 287.05 (12). All
16specifications under this subsection shall discourage the purchase of single-use,
17disposable products and require, whenever practical, the purchase of multiple-use,
18durable products.
SB273, s. 23 19Section 23. 16.75 (1m) of the statutes is amended to read:
SB273,13,920 16.75 (1m) The department shall award each order or contract for materials,
21supplies or equipment on the basis of life cycle cost estimates, whenever such action
22is appropriate. Each authority other than the University of Wisconsin Hospitals and
23Clinics Authority, the Lower Fox River Remediation Authority, the Wisconsin
24Aerospace Authority, the Badger Health Benefit Authority, and the Health
25Insurance Risk-Sharing Plan Authority shall award each order or contract for

1materials, supplies or equipment on the basis of life cycle cost estimates, whenever
2such action is appropriate. The terms, conditions and evaluation criteria to be
3applied shall be incorporated in the solicitation of bids or proposals. The life cycle
4cost formula may include, but is not limited to, the applicable costs of energy
5efficiency, acquisition and conversion, money, transportation, warehousing and
6distribution, training, operation and maintenance and disposition or resale. The
7department shall prepare documents containing technical guidance for the
8development and use of life cycle cost estimates, and shall make the documents
9available to local governmental units.
SB273, s. 24 10Section 24. 16.75 (8) (a) 1. of the statutes is amended to read:
SB273,13,1811 16.75 (8) (a) 1. The department, any other designated purchasing agent under
12s. 16.71 (1), any agency making purchases under s. 16.74, and each authority other
13than the University of Wisconsin Hospitals and Clinics Authority, the Lower Fox
14River Remediation Authority, the Badger Health Benefit Authority, and the Health
15Insurance Risk-Sharing Plan Authority shall, to the extent practicable, make
16purchasing selections using specifications developed under s. 16.72 (2) (e) to
17maximize the purchase of materials utilizing recycled materials and recovered
18materials.
SB273, s. 25 19Section 25. 16.75 (8) (a) 2. of the statutes is amended to read:
SB273,14,220 16.75 (8) (a) 2. Each agency and authority other than the University of
21Wisconsin Hospitals and Clinics Authority, the Lower Fox River Remediation
22Authority, the Badger Health Benefit Authority, and the Health Insurance
23Risk-Sharing Plan Authority shall ensure that the average recycled or recovered
24content of all paper purchased by the agency or authority measured as a proportion,

1by weight, of the fiber content of paper products purchased in a fiscal year, is not less
2than 40% of all purchased paper.
SB273, s. 26 3Section 26. 16.75 (9) of the statutes is amended to read:
SB273,14,94 16.75 (9) The department, any other designated purchasing agent under s.
516.71 (1), any agency making purchases under s. 16.74, and any authority other than
6the University of Wisconsin Hospitals and Clinics Authority, the Lower Fox River
7Remediation Authority, the Badger Health Benefit Authority, and the Health
8Insurance Risk-Sharing Plan Authority shall, to the extent practicable, make
9purchasing selections using specifications prepared under s. 16.72 (2) (f).
SB273, s. 27 10Section 27. 16.765 (1) of the statutes, as affected by 2011 Wisconsin Act 10,
11is amended to read:
SB273,14,2312 16.765 (1) Contracting agencies, the University of Wisconsin Hospitals and
13Clinics Authority, the Fox River Navigational System Authority, the Wisconsin
14Aerospace Authority, the Health Insurance Risk-Sharing Plan Authority, the
15Badger Health Benefit Authority,
the Lower Fox River Remediation Authority, the
16Wisconsin Economic Development Corporation, and the Bradley Center Sports and
17Entertainment Corporation shall include in all contracts executed by them a
18provision obligating the contractor not to discriminate against any employee or
19applicant for employment because of age, race, religion, color, handicap, sex, physical
20condition, developmental disability as defined in s. 51.01 (5), sexual orientation as
21defined in s. 111.32 (13m), or national origin and, except with respect to sexual
22orientation, obligating the contractor to take affirmative action to ensure equal
23employment opportunities.
SB273, s. 28 24Section 28. 16.765 (2) of the statutes, as affected by 2011 Wisconsin Act 10,
25is amended to read:
SB273,15,18
116.765 (2) Contracting agencies, the University of Wisconsin Hospitals and
2Clinics Authority, the Fox River Navigational System Authority, the Wisconsin
3Aerospace Authority, the Health Insurance Risk-Sharing Plan Authority, the
4Badger Health Benefit Authority,
the Lower Fox River Remediation Authority, the
5Wisconsin Economic Development Corporation, and the Bradley Center Sports and
6Entertainment Corporation shall include the following provision in every contract
7executed by them: "In connection with the performance of work under this contract,
8the contractor agrees not to discriminate against any employee or applicant for
9employment because of age, race, religion, color, handicap, sex, physical condition,
10developmental disability as defined in s. 51.01 (5), sexual orientation or national
11origin. This provision shall include, but not be limited to, the following: employment,
12upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or
13termination; rates of pay or other forms of compensation; and selection for training,
14including apprenticeship. Except with respect to sexual orientation, the contractor
15further agrees to take affirmative action to ensure equal employment opportunities.
16The contractor agrees to post in conspicuous places, available for employees and
17applicants for employment, notices to be provided by the contracting officer setting
18forth the provisions of the nondiscrimination clause".
SB273, s. 29 19Section 29. 16.765 (4) of the statutes, as affected by 2011 Wisconsin Act 10,
20is amended to read:
SB273,16,221 16.765 (4) Contracting agencies, the University of Wisconsin Hospitals and
22Clinics Authority, the Fox River Navigational System Authority, the Wisconsin
23Aerospace Authority, the Health Insurance Risk-Sharing Plan Authority, the
24Badger Health Benefit Authority,
the Lower Fox River Remediation Authority, and

1the Bradley Center Sports and Entertainment Corporation shall take appropriate
2action to revise the standard government contract forms under this section.
SB273, s. 30 3Section 30. 16.765 (5) of the statutes, as affected by 2011 Wisconsin Act 10,
4is amended to read:
SB273,16,225 16.765 (5) The head of each contracting agency and the boards of directors of
6the University of Wisconsin Hospitals and Clinics Authority, the Fox River
7Navigational System Authority, the Wisconsin Aerospace Authority, the Health
8Insurance Risk-Sharing Plan Authority, the Badger Health Benefit Authority, the
9Lower Fox River Remediation Authority, the Wisconsin Economic Development
10Corporation, and the Bradley Center Sports and Entertainment Corporation shall
11be primarily responsible for obtaining compliance by any contractor with the
12nondiscrimination and affirmative action provisions prescribed by this section,
13according to procedures recommended by the department. The department shall
14make recommendations to the contracting agencies and the boards of directors of the
15University of Wisconsin Hospitals and Clinics Authority, the Fox River Navigational
16System Authority, the Wisconsin Aerospace Authority, the Health Insurance
17Risk-Sharing Plan Authority, the Badger Health Benefit Authority, the Lower Fox
18River Remediation Authority, the Wisconsin Economic Development Corporation,
19and the Bradley Center Sports and Entertainment Corporation for improving and
20making more effective the nondiscrimination and affirmative action provisions of
21contracts. The department shall promulgate such rules as may be necessary for the
22performance of its functions under this section.
SB273, s. 31 23Section 31. 16.765 (6) of the statutes, as affected by 2011 Wisconsin Act 10,
24is amended to read:
SB273,17,10
116.765 (6) The department may receive complaints of alleged violations of the
2nondiscrimination provisions of such contracts. The department shall investigate
3and determine whether a violation of this section has occurred. The department may
4delegate this authority to the contracting agency, the University of Wisconsin
5Hospitals and Clinics Authority, the Fox River Navigational System Authority, the
6Wisconsin Aerospace Authority, the Health Insurance Risk-Sharing Plan Authority,
7the Badger Health Benefit Authority, the Lower Fox River Remediation Authority,
8the Wisconsin Economic Development Corporation, or the Bradley Center Sports
9and Entertainment Corporation for processing in accordance with the department's
10procedures.
SB273, s. 32 11Section 32. 16.765 (7) (intro.) of the statutes, as affected by 2011 Wisconsin
12Act 10
, is amended to read:
SB273,17,2413 16.765 (7) (intro.) When a violation of this section has been determined by the
14department, the contracting agency, the University of Wisconsin Hospitals and
15Clinics Authority, the Fox River Navigational System Authority, the Wisconsin
16Aerospace Authority, the Health Insurance Risk-Sharing Plan Authority, the
17Badger Health Benefit Authority,
the Lower Fox River Remediation Authority, the
18Wisconsin Economic Development Corporation, or the Bradley Center Sports and
19Entertainment Corporation, the contracting agency, the University of Wisconsin
20Hospitals and Clinics Authority, the Fox River Navigational System Authority, the
21Wisconsin Aerospace Authority, the Health Insurance Risk-Sharing Plan Authority,
22the Badger Health Benefit Authority, the Lower Fox River Remediation Authority,
23the Wisconsin Economic Development Corporation, or the Bradley Center Sports
24and Entertainment Corporation shall:
SB273, s. 33
1Section 33. 16.765 (7) (d) of the statutes, as affected by 2011 Wisconsin Act 10,
2is amended to read:
SB273,18,93 16.765 (7) (d) Direct the violating party to take immediate steps to prevent
4further violations of this section and to report its corrective action to the contracting
5agency, the University of Wisconsin Hospitals and Clinics Authority, the Fox River
6Navigational System Authority, the Wisconsin Aerospace Authority, the Health
7Insurance Risk-Sharing Plan Authority, the Badger Health Benefit Authority, the
8Lower Fox River Remediation Authority, the Wisconsin Economic Development
9Corporation, or the Bradley Center Sports and Entertainment Corporation.
SB273, s. 34 10Section 34. 16.765 (8) of the statutes, as affected by 2011 Wisconsin Act 10,
11is amended to read:
SB273,19,612 16.765 (8) If further violations of this section are committed during the term
13of the contract, the contracting agency, the Fox River Navigational System Authority,
14the Wisconsin Aerospace Authority, the Health Insurance Risk-Sharing Plan
15Authority, the Badger Health Benefit Authority, the Lower Fox River Remediation
16Authority, the Wisconsin Economic Development Corporation, or the Bradley Center
17Sports and Entertainment Corporation may permit the violating party to complete
18the contract, after complying with this section, but thereafter the contracting agency,
19the Fox River Navigational System Authority, the Wisconsin Aerospace Authority,
20the Health Insurance Risk-Sharing Plan Authority, the Badger Health Benefit
21Authority,
the Lower Fox River Remediation Authority, the Wisconsin Economic
22Development Corporation, or the Bradley Center Sports and Entertainment
23Corporation shall request the department to place the name of the party on the
24ineligible list for state contracts, or the contracting agency, the Fox River
25Navigational System Authority, the Wisconsin Aerospace Authority, the Health

1Insurance Risk-Sharing Plan Authority, the Badger Health Benefit Authority, the
2Lower Fox River Remediation Authority, the Wisconsin Economic Development
3Corporation, or the Bradley Center Sports and Entertainment Corporation may
4terminate the contract without liability for the uncompleted portion or any materials
5or services purchased or paid for by the contracting party for use in completing the
6contract.
SB273, s. 35 7Section 35. 16.85 (2) of the statutes, as affected by 2011 Wisconsin Act 10, is
8amended to read:
SB273,19,199 16.85 (2) To furnish engineering, architectural, project management, and other
10building construction services whenever requisitions therefor are presented to the
11department by any agency. The department may deposit moneys received from the
12provision of these services in the account under s. 20.505 (1) (kc) or in the general
13fund as general purpose revenue — earned. In this subsection, "agency" means an
14office, department, independent agency, institution of higher education, association,
15society, or other body in state government created or authorized to be created by the
16constitution or any law, which is entitled to expend moneys appropriated by law,
17including the legislature and the courts, but not including an authority created in
18subch. II of ch. 114 or, subch. III of ch. 149, or subch. III of ch. 636 or in ch. 231, 233,
19234, 237, 238, or 279.
SB273, s. 36 20Section 36. 16.865 (8) of the statutes, as affected by 2011 Wisconsin Act 10,
21is amended to read:
SB273,20,1122 16.865 (8) Annually in each fiscal year, allocate as a charge to each agency a
23proportionate share of the estimated costs attributable to programs administered by
24the agency to be paid from the appropriation under s. 20.505 (2) (k). The department
25may charge premiums to agencies to finance costs under this subsection and pay the

1costs from the appropriation on an actual basis. The department shall deposit all
2collections under this subsection in the appropriation account under s. 20.505 (2) (k).
3Costs assessed under this subsection may include judgments, investigative and
4adjustment fees, data processing and staff support costs, program administration
5costs, litigation costs, and the cost of insurance contracts under sub. (5). In this
6subsection, "agency" means an office, department, independent agency, institution
7of higher education, association, society, or other body in state government created
8or authorized to be created by the constitution or any law, that is entitled to expend
9moneys appropriated by law, including the legislature and the courts, but not
10including an authority created in subch. II of ch. 114 or , subch. III of ch. 149, or subch.
11III of ch. 636
or in ch. 231, 232, 233, 234, 235, 237, 238, or 279.
SB273, s. 37 12Section 37. 25.50 (1) (d) of the statutes is amended to read:
SB273,20,2213 25.50 (1) (d) "Local government" means any county, town, village, city, power
14district, sewerage district, drainage district, town sanitary district, public inland
15lake protection and rehabilitation district, local professional baseball park district
16created under subch. III of ch. 229, long-term care district under s. 46.2895, local
17professional football stadium district created under subch. IV of ch. 229, local
18cultural arts district created under subch. V of ch. 229, public library system, school
19district or technical college district in this state, any commission, committee, board
20or officer of any governmental subdivision of this state, any court of this state, other
21than the court of appeals or the supreme court, or any authority created under s.
22114.61, 149.41, 231.02, 233.02 or, 234.02 , or 636.70.
SB273, s. 38 23Section 38. 40.02 (54) (n) of the statutes is created to read:
SB273,20,2424 40.02 (54) (n) The Badger Health Benefit Authority.
SB273, s. 39 25Section 39. 49.45 (2) (a) 3. of the statutes is amended to read:
SB273,21,5
149.45 (2) (a) 3. Determine Subject to s. 636.30 (1) (o), determine the eligibility
2of persons for medical assistance, rehabilitative, and social services under ss. 49.46,
349.468, 49.47, and 49.471 and rules and policies adopted by the department and may,
4under a contract under s. 49.78 (2), delegate all, or any portion, of this function to the
5county department under s. 46.215, 46.22, or 46.23 or a tribal governing body.
SB273, s. 40 6Section 40. 70.11 (41c) of the statutes is created to read:
SB273,21,97 70.11 (41c) Badger Health Benefit Authority. All property owned by the
8Badger Health Benefit Authority, provided that the use of the property is primarily
9related to the purposes of the authority.
SB273, s. 41 10Section 41. 71.26 (1) (be) of the statutes, as affected by 2011 Wisconsin Act 10,
11is amended to read:
SB273,21,1612 71.26 (1) (be) Certain authorities. Income of the University of Wisconsin
13Hospitals and Clinics Authority, of the Health Insurance Risk-Sharing Plan
14Authority, of the Badger Health Benefit Authority, of the Fox River Navigational
15System Authority, of the Wisconsin Economic Development Corporation, and of the
16Wisconsin Aerospace Authority.
SB273, s. 42 17Section 42. 77.54 (9a) (a) of the statutes, as affected by 2011 Wisconsin Act 10,
18is amended to read:
SB273,21,2319 77.54 (9a) (a) This state or any agency thereof, the University of Wisconsin
20Hospitals and Clinics Authority, the Wisconsin Aerospace Authority, the Health
21Insurance Risk-Sharing Plan Authority, the Badger Health Benefit Authority, the
22Wisconsin Economic Development Corporation, and the Fox River Navigational
23System Authority.
SB273, s. 43 24Section 43. 101.055 (2) (a) of the statutes is amended to read:
SB273,22,5
1101.055 (2) (a) "Agency" means an office, department, independent agency,
2authority, institution, association, society, or other body in state government created
3or authorized to be created by the constitution or any law, and includes the
4legislature and the courts, but excludes the Health Insurance Risk-Sharing Plan
5Authority and the Badger Health Benefit Authority.
SB273, s. 44 6Section 44. 101.177 (1) (d) of the statutes, as affected by 2011 Wisconsin Act
710
, is amended to read:
SB273,22,188 101.177 (1) (d) "State agency" means any office, department, agency,
9institution of higher education, association, society, or other body in state
10government created or authorized to be created by the constitution or any law, that
11is entitled to expend moneys appropriated by law, including the legislature and the
12courts, the Wisconsin Housing and Economic Development Authority, the Bradley
13Center Sports and Entertainment Corporation, the University of Wisconsin
14Hospitals and Clinics Authority, the Wisconsin Aerospace Authority, the Wisconsin
15Economic Development Corporation, and the Wisconsin Health and Educational
16Facilities Authority, but excluding the Health Insurance Risk-Sharing Plan
17Authority, the Badger Health Benefit Authority, and the Lower Fox River
18Remediation Authority.
SB273, s. 45 19Section 45. 230.03 (3) of the statutes, as affected by 2011 Wisconsin Act 10,
20is amended to read:
SB273,23,521 230.03 (3) "Agency" means any board, commission, committee, council, or
22department in state government or a unit thereof created by the constitution or
23statutes if such board, commission, committee, council, department, unit, or the
24head thereof, is authorized to appoint subordinate staff by the constitution or
25statute, except a legislative or judicial board, commission, committee, council,

1department, or unit thereof or an authority created under subch. II of ch. 114 or,
2subch. III of ch. 149, or subch. III of ch. 636 or under ch. 231, 232, 233, 234, 235, 237,
3238, or 279. "Agency" does not mean any local unit of government or body within one
4or more local units of government that is created by law or by action of one or more
5local units of government.
SB273, s. 46 6Section 46. 230.80 (4) of the statutes is amended to read:
SB273,23,147 230.80 (4) "Governmental unit" means any association, authority, board,
8commission, department, independent agency, institution, office, society, or other
9body in state government created or authorized to be created by the constitution or
10any law, including the legislature, the office of the governor, and the courts, but
11excluding the Health Insurance Risk-Sharing Plan Authority and the Badger
12Health Benefit Authority
. "Governmental unit" does not mean any political
13subdivision of the state or body within one or more political subdivisions that is
14created by law or by action of one or more political subdivisions.
SB273, s. 47 15Section 47. 230.90 (1) (c) of the statutes is amended to read:
SB273,23,2416 230.90 (1) (c) "Governmental unit" means any association, authority, board,
17commission, department, independent agency, institution, office, society or other
18body in state government created or authorized to be created by the constitution or
19any law, including the legislature, the office of the governor and the courts.
20"Governmental unit" does not mean the University of Wisconsin Hospitals and
21Clinics Authority, the Health Insurance Risk-Sharing Plan Authority, the Badger
22Health Benefit Authority,
or any political subdivision of the state or body within one
23or more political subdivisions which is created by law or by action of one or more
24political subdivisions.
SB273, s. 48 25Section 48. 635.18 (1) of the statutes is amended to read:
SB273,24,2
1635.18 (1) Every Any small employer insurer shall may actively market health
2benefit plan coverage to small employers in the state.
SB273, s. 49 3Section 49. Chapter 636 of the statutes is created to read:
SB273,24,54 chapter 636
5 health benefit plan exchange
SB273,24,76 subchapter I
7 general provisions
SB273,24,8 8636.01 Definitions. In this chapter:
SB273,24,9 9(1) "Authority" means the Badger Health Benefit Authority.
SB273,24,12 10(2) "Educated health care consumer" means an individual who is
11knowledgeable about the health care system and who has background or experience
12in making informed decisions regarding health, medical, and scientific matters.
SB273,24,16 13(3) "Federal act" means the federal Patient Protection and Affordable Care Act
14(P.L. 111-148), as amended by the federal Health Care and Education Reconciliation
15Act of 2010 (P.L. 111-152), and any amendments to, or regulations or guidance issued
16under, those acts.
SB273,24,19 17(4) (a) Except as provided in pars. (b) to (e), "health benefit plan" means a policy,
18contract, certificate, or agreement offered or issued by a health carrier to provide,
19deliver, arrange for, pay for, or reimburse any of the costs of health care services.
SB273,24,2020 (b) "Health benefit plan" does not include any of the following:
SB273,24,2221 1. Coverage only for accident, or disability income insurance, or any
22combination of those.
SB273,24,2323 2. Coverage issued as a supplement to liability insurance.
SB273,24,2524 3. Liability insurance, including general liability insurance and automobile
25liability insurance.
SB273,25,1
14. Worker's compensation or similar insurance.
SB273,25,22 5. Automobile medical payment insurance.
SB273,25,33 6. Credit-only insurance.
SB273,25,44 7. Coverage for on-site medical clinics.
SB273,25,75 8. Other similar insurance coverage, specified in federal regulations issued
6under P.L. 104-191, under which benefits for health care services are secondary or
7incidental to other insurance benefits.
SB273,25,108 (c) "Health benefit plan" does not include any of the following benefits if they
9are provided under a separate policy, certificate, or contract of insurance or otherwise
10not an integral part of the plan:
SB273,25,1111 1. Limited scope dental or vision benefits.
SB273,25,1312 2. Benefits for long-term care, nursing home care, home health care,
13community-based care, or any combination of those.
SB273,25,1514 3. Other similar, limited benefits specified in federal regulations issued under
15P.L. 104-191.
SB273,25,2216 (d) "Health benefit plan" does not include any of the following benefits if the
17benefits are provided under a separate policy, certificate, or contract of insurance,
18there is no coordination between the provision of the benefits and any exclusion of
19benefits under any group health plan maintained by the same plan sponsor, and the
20benefits are paid with respect to an event without regard to whether benefits are
21provided with respect to such an event under any group health plan maintained by
22the same plan sponsor:
SB273,25,2323 1. Coverage only for a specified disease or illness.
SB273,25,2424 2. Hospital indemnity or other fixed indemnity insurance.
SB273,26,2
1(e) "Health benefit plan" does not include any of the following if offered as a
2separate policy, certificate, or contract of insurance:
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