40.03(5)(b) (b) Shall make a general investigation at least once every 3 years of the experience of the Wisconsin retirement system relating to mortality, disability, retirement, separation, interest, employe earnings rates and of any other factors deemed pertinent and to certify, as a result of each investigation, the actuarial assumptions to be used for computing employer contribution rates, the assumed rate and the tables to be used for computing annuities and benefits, provided the tables shall not provide different benefits on the basis of sex for participants or beneficiaries similarly situated. If the assumed rate changes, the actuary shall at the same time adjust the assumptions for future changes in employe earnings rates to be consistent with the new assumed rate. The recommended actuarial assumptions shall be based on the system's own experience as identified in the general investigations unless lack of adequate information or unusual circumstances are specifically identified and fully described which require use of other groups' experience and such other experience is not inconsistent with the system's own experience. When considering or implementing new or changed benefit provisions and areas of risk, the assumptions may be based solely on the experience of other groups until 5 years of the system's own experience is available for use as long as such other experience is not inconsistent with the system's own experience.
40.03(5)(c) (c) Shall determine the proper rates of premiums and contributions required, or advise as to the appropriateness of premium rates proposed by independent insurers, for each of the benefit plans provided for by this chapter.
40.03(5)(d) (d) Shall make an annual valuation of the liabilities and reserves required to pay both present and prospective benefits.
40.03(5)(e) (e) Shall certify the actuarial figures on the annual financial statements required under sub. (2) (e).
40.03(6) (6)Group insurance board. The group insurance board:
40.03(6)(a) (a)
40.03(6)(a)1.1. Shall, on behalf of the state, enter into a contract or contracts with one or more insurers authorized to transact insurance business in this state for the purpose of providing the group insurance plans provided for by this chapter; or
40.03(6)(a)2. 2. May, wholly or partially in lieu of subd. 1., on behalf of the state, provide any group insurance plan on a self-insured basis in which case the group insurance board shall approve a written description setting forth the terms and conditions of the plan, and may contract directly with providers of hospital, medical or ancillary services to provide insured employes with the benefits provided under this chapter.
40.03(6)(b) (b) May provide other group insurance plans for employes and their dependents and for annuitants and their dependents in addition to the group insurance plans specifically provided under this chapter. The terms of the group insurance under this paragraph shall be determined by contract, and shall provide that the employer is not liable for any obligations accruing from the operation of any group insurance plan under this paragraph except as agreed to by the employer.
40.03(6)(c) (c) Shall not enter into any agreements to modify or expand group insurance coverage in a manner which conflicts with this chapter or rules of the department or materially affects the level of premiums required to be paid by the state or its employes, or the level of benefits to be provided, under any group insurance coverage. This restriction shall not be construed to prevent modifications required by law, prohibit the group insurance board from providing optional insurance coverages as alternatives to the standard insurance coverage when any excess of required premium over the premium for the standard coverage is paid by the employe or prohibit the group insurance board from providing other plans as authorized under par. (b).
40.03(6)(d) (d) May take any action as trustees which is deemed advisable and not specifically prohibited or delegated to some other governmental agency, to carry out the purpose and intent of the group insurance plans provided under this chapter, including, but not limited to, provisions in the appropriate contracts relating to:
40.03(6)(d)1. 1. Eligibility of active and retired employes to participate, or providing the employe the opportunity to decline participation or to withdraw.
40.03(6)(d)2. 2. The payments by employes for group insurance.
40.03(6)(d)3. 3. Enrollment periods and the time group insurance coverage shall be effective.
40.03(6)(d)4. 4. The time that changes in coverage and premium payments shall take effect.
40.03(6)(d)5. 5. The terms and conditions of the insurance contract or contracts, including the amount of premium.
40.03(6)(d)6. 6. The date group insurance contracts shall be effective.
40.03(6)(d)7. 7. Establishment of reserves.
40.03(6)(e) (e) Shall apportion all excess moneys becoming available to it through operation of the group insurance plans to reduce premium payments in following contract years or to establish reserves to stabilize costs in subsequent years. If it is determined that the excess became available due to favorable experience of specific groups of employers or specific employe groups, the apportionment may be made in a manner designated to benefit the specific employers or employe groups only, or to a greater extent than other employers and employe groups.
40.03(6)(f) (f) Shall take prompt action to liquidate any actuarial or cash deficit which occurs in the accounts and reserves maintained in the fund for any group insurance benefit plan.
40.03(6)(g) (g) Shall determine the amount of insurance and extent of coverage provided and amount of premiums required during a union service leave. The amount of insurance and extent of coverage shall be not less than that in effect immediately preceding the commencement of the union service leave.
40.03(6)(h) (h) Shall, on behalf of the state, offer as provided in s. 40.55 long-term care insurance policies, subject to the following conditions:
40.03(6)(h)1. 1. For purposes of this paragraph only, pars. (a) 2., (b), (e), (f) and (g) do not apply.
40.03(6)(h)2. 2. For purposes of this section, the offering by the state of long-term health insurance policies shall constitute a group insurance plan under par. (a) 1.
40.03(6)(i) (i) May accept timely appeals of determinations made by the department affecting any right or benefit under any group insurance plan provided for under this chapter.
40.03(6)(j) (j) May contract with the office of health care information in the office of the commissioner of insurance and may contract with other public or private entities for data collection and analysis services related to health maintenance organizations and insurance companies that provide health insurance to state employes.
40.03(7) (7)Teachers retirement board. The teachers retirement board:
40.03(7)(a) (a) Shall appoint 4 members of the employe trust funds board as provided under s. 15.16 (1).
40.03(7)(b) (b) Shall study and recommend to the secretary and the employe trust funds board alternative administrative policies and rules which will enhance the achievement of the objectives of the benefit programs for teacher participants.