AB75,1547,324
632.32
(6) (f)
A No policy may provide that the maximum amount of medical
25payments coverage available for bodily injury or death suffered by a person who was
1not using a motor vehicle at the time of an accident is
the highest any single limit of
2medical payments coverage for any motor vehicle with respect to which the person
3is insured.
AB75, s. 3171
4Section
3171. 632.32 (5) (i) of the statutes is renumbered 632.32 (6) (g), and
5632.32 (6) (g) (intro.), as renumbered, is amended to read:
AB75,1547,96
632.32
(6) (g) (intro.)
A No policy may provide that the limits under the policy
7for uninsured
motorist coverage or underinsured motorist coverage for bodily injury
8or death resulting from any one accident shall be reduced by any of the following that
9apply:
AB75, s. 3172
10Section
3172. 632.32 (5) (j) of the statutes is renumbered 632.32 (6) (h), and
11632.32 (6) (h) (intro.), as renumbered, is amended to read:
AB75,1547,1412
632.32
(6) (h) (intro.)
A No policy may provide that any coverage under the
13policy does not apply to a loss resulting from the use of a motor vehicle that meets
14all of the following conditions:
AB75, s. 3173
15Section
3173. 632.72 (1g) (b) of the statutes is amended to read:
AB75,1547,1916
632.72
(1g) (b) "Medical benefits or assistance" means health care services
17funded by a relief block grant
under ch. 49, as defined in s. 49.001 (5p); medical
18assistance, as defined under s. 49.43 (8); or maternal and child health services under
19s. 253.05.
AB75, s. 3174
20Section
3174. 632.7497 of the statutes is created to read:
AB75,1547,24
21632.7497 Modifications at renewal. (1) In this section, "individual major
22medical or comprehensive health benefit plan" includes coverage under a group
23health benefit plan that is underwritten on an individual basis and issued to
24individuals or families.
AB75,1548,3
1(2) An insurer that issues an individual major medical or comprehensive
2health benefit plan shall, at the time of a coverage renewal, at the request of an
3insured, permit the insured to do either of the following:
AB75,1548,44
(a) Change his or her coverage to any of the following:
AB75,1548,65
1. A different but comparable individual major medical or comprehensive
6health benefit plan currently offered by the insurer.
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2. An individual major medical or comprehensive health benefit plan currently
8offered by the insurer with more limited benefits.
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3. An individual major medical or comprehensive health benefit plan currently
10offered by the insurer with higher deductibles.
AB75,1548,1311
(b) Modify his or her existing coverage by electing an optional higher
12deductible, if any, under the individual major medical or comprehensive health
13benefit plan.
AB75,1548,17
14(3) (a) The insurer may not impose any new preexisting condition exclusion
15under the new or modified coverage under sub. (2) that did not apply to the insured's
16original coverage and shall allow the insured credit under the new or modified
17coverage for the period of original coverage.
AB75,1548,2018
(b) For the new or modified coverage, the insurer may not rate for health status
19other than on the insured's health status at the time the insured applied for the
20original coverage and as the insured disclosed on the original application.
AB75,1548,23
21(4) (a) Annually, the insurer shall mail to each insured under an individual
22major medical or comprehensive health benefit plan issued by the insurer, a notice
23that includes all of the following information:
AB75,1548,2524
1. That the insured has the right to elect alternative coverage as described in
25sub. (2).
AB75,1549,1
12. A description of the alternatives available to the insured.
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3. The procedure for making the election.
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(b) The insurer shall mail the notice under par. (a) not more than 3 months nor
4less than 60 days before the renewal date of the insured's plan.
AB75,1549,7
5(5) (a) Nothing in this section requires an insurer to issue alternative coverage
6under sub. (2) if the insured's coverage may be nonrenewed or discontinued under
7s. 632.7495 (2), (3) (b), or (4).
AB75,1549,118
(b) Notwithstanding s. 600.01 (1) (b) 3. and 4., this section applies to a group
9health benefit plan described in s. 600.01 (1) (b) 3. or 4. if that group health benefit
10plan is an individual major medical or comprehensive health benefit plan as defined
11in sub. (1).
AB75, s. 3175
12Section
3175. 632.76 (2) (a) of the statutes is amended to read:
AB75,1549,1813
632.76
(2) (a) No claim for loss incurred or disability commencing after
2 years 1412 months from the date of issue of the policy may be reduced or denied on the ground
15that a disease or physical condition existed prior to the effective date of coverage,
16unless the condition was excluded from coverage by name or specific description by
17a provision effective on the date of loss. This paragraph does not apply to a group
18health benefit plan, as defined in s. 632.745 (9), which is subject to s. 632.746.
AB75, s. 3176
19Section
3176. 632.76 (2) (ac) of the statutes is created to read:
AB75,1549,2420
632.76
(2) (ac) An individual disability insurance policy, as defined in s.
21632.895 (1) (a), may not define a preexisting condition more restrictively than a
22condition, whether physical or mental, regardless of the cause of the condition, for
23which medical advice, diagnosis, care, or treatment was recommended or received
24within 12 months before the effective date of coverage.
AB75, s. 3177
25Section
3177. 632.76 (2) (b) of the statutes is amended to read: