AB100-ASA1-AA8,474,1312
2. The coverage required under this subsection does not include coverage for
13cosmetic or elective orthodontic care, periodontic care or general dental care.
AB100-ASA1-AA8,474,1614
(c) The coverage required under this subsection may be subject to any
15limitations, exclusions or cost-sharing provisions that apply generally under the
16disability insurance policy or self-insured health plan.".
AB100-ASA1-AA8,474,20
18"632.895
(12) Hospital and ambulatory surgery center charges and
19anesthetics for dental care. (a) In this subsection, "ambulatory surgery center"
20has the meaning given in s. 49.45 (6r) (a) 1.
AB100-ASA1-AA8,475,221
(b) Every disability insurance policy, and every self-insured health plan of the
22state or a county, city, village, town or school district, shall cover hospital or
23ambulatory surgery center charges incurred, and anesthetics provided, in
1conjunction with dental care that is provided to a covered individual in a hospital or
2ambulatory surgery center, if any of the following applies:".
AB100-ASA1-AA8,475,138
632.896
(4) Preexisting conditions. Notwithstanding ss.
632.745 (2) 632.746 9and 632.76 (2) (a), a disability insurance policy that is subject to sub. (2) and that is
10in effect when a court makes a final order granting adoption or when the child is
11placed for adoption may not exclude or limit coverage of a disease or physical
12condition of the child on the ground that the disease or physical condition existed
13before coverage is required to begin under sub. (3).".
AB100-ASA1-AA8,475,1916
632.895
(13) Breast reconstruction. (a) Every disability insurance policy,
17and every self-insured health plan of the state or a county, city, village, town or school
18district, that provides coverage of the surgical procedure known as a mastectomy
19shall provide coverage of breast reconstruction incident to a mastectomy.
AB100-ASA1-AA8,475,2220
(b) The coverage required under par. (a) may be subject to any limitations,
21exclusions or cost-sharing provisions that apply generally under the disability
22insurance policy or self-insured health plan.".
AB100-ASA1-AA8, s. 4932d
2Section 4932d. Subchapter I (title) of chapter 635 [precedes 635.01] of the
3statutes is repealed.
AB100-ASA1-AA8,476,11
5635.01 Scope. This
subchapter chapter applies to all group health insurance
6plans, policies or certificates, written on risks or operations in this state, providing
7coverage for employes of a small employer, or employes of a small employer and the
8employer, and to individual health insurance policies, written on risks or operations
9in this state, providing coverage for employes of a small employer, or employes of a
10small employer and the employer when 3 or more are sold to
or through a small
11employer.
AB100-ASA1-AA8,476,13
13635.02 Definitions. (intro.) In this
subchapter chapter:
AB100-ASA1-AA8,476,1616
635.02
(1p) "Bona fide association" has the meaning given in s. 632.745 (3).
AB100-ASA1-AA8,476,2020
635.02
(3g) "Employer" has the meaning given in s. 632.745 (6).