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(4) (be) The department shall establish an annual enrollment period
6during which an employee or, if the employee is deceased, an employee's surviving
7insured dependents may elect to initiate or delay continuation of deductions from the
8employee's sick leave credits under par. (b). An employee or surviving insured
9dependent may elect to continue or delay continuation of such deductions any
10number of times. If an employee or surviving insured dependent has initiated the
11deductions but later elects to delay continuation of the deductions, the employee or
12surviving insured dependent must be covered by a comparable health insurance plan
13or policy during the period beginning on the date on which the employee or surviving
14insured dependent delays continuation of the deductions and ending on the date on
15which the employee or surviving insured dependent later elects to continue the
16deductions. A health insurance plan or policy is considered comparable if it provides
17hospital and medical benefits that are substantially equivalent to the standard
18health insurance plan established under s. 40.52 (1).".
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(1) (bm) "Eligible employee" has the meaning given in s. 632.745 (5) (a).
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(1) (d) "Employer" means any person doing business or operating an
24organization in this state and employing at least 2
eligible employees, except that for
1a person operating a farm business the person must employ at least one
eligible 2employee. "Employer" does not include an employer as defined in s. 40.02 (28).
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(2) (a) 3. The
administrator selected under subd. 2., or the department
5if no administrator has been selected under subd. 2., shall enter into contracts with
6insurers who are to provide health care coverage under the health care coverage
7program.
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(2) (a) 4. The department
or the administrator selected under subd. 2. 10shall solicit and accept bids and shall enter into a contract for marketing the health
11care coverage program.
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(2) (a) 5. The department
or the administrator selected under subd. 2. 14shall maintain a toll-free telephone number to provide information on the health
15care coverage program.
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(2) (d) All insurance rates for health care coverage under the program
18shall be
published annually in a single publication that is made available to
19employers and employees
in a manner determined by the board. Rates that apply
20to coverage for small employers, as defined in s. 635.02 (7), shall be published at least
21annually, as required in s. 635.12. The rates may be listed by county or by any other
22regional factor that the board considers appropriate.
Annually, the board shall
23submit a report to the appropriate standing committees under s. 13.172 (3)
24specifying the average insurance rate for health care coverage under the program by
25county or by any other regional factor the board considers appropriate.
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(3) (a) Offer health care coverage under one or more plans to all of its
3permanent eligible employees
who have a normal work week of 30 or more hours and
,
4if permitted by any plan offered by an insurer under the health care coverage
5program, may offer health care coverage under
one or more plans such a plan to any
6of its other employees.
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(3) (b) Provide health care coverage under one or more plans to at least
950% of its
permanent eligible employees
who have a normal work week of 30 or more
10hours and who do not otherwise receive health care coverage as a dependent under
11any other plan that is not offered by the employer or a percentage of such employees
12specified by the board, whichever percentage is greater.
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(3) (c) Pay for each
eligible employee at least 50%
but not more than 100%
15of the lowest premium rate that would be of the lowest premium rate for single
16coverage that is available to the employer for that employee's coverage under the
17health care coverage program.
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(5) (bm) Notwithstanding par. (am), the department, in consultation
21with the board, may limit the requirement under par. (am) to compliance with s.
22635.19.
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(6) (b) An insurance agent may not sell any health care coverage under
25the health care coverage program on behalf of an insurer unless he or she is
employed
1by the insurer or has a contract with the insurer to sell the health care coverage on
2behalf of listed by the insurer
under s. 628.11.
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(6) (d) The board may establish training requirements that an insurance
5agent must satisfy, in addition to any requirements under s. 628.04 (3), to sell health
6care coverage under the health care coverage program.
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(6m) The secretary of administration shall lapse from the appropriation
9under s. 20.515 (2) (g) to the general fund the amounts necessary to repay the loan
10from the state life insurance fund under s. 607.25 when the secretary of
11administration, after consulting with the board, determines that funds in the
12appropriation under s. 20.515 (2) (g) are sufficient to make the lapse. The amounts
13that are required to be lapsed under s. 20.515 (2) (g) shall equal the amount necessary
14to pay all principal and interest costs on the loan, less any amount that is lapsed to
15the general fund under s. 20.515 (2) (a) at the end of the 2001-03 fiscal biennium.
16The secretary of administration may lapse the amounts under s. 20.515 (2) (g) in
17installments.".