SB77,1381,99
252.16
(1) (ar) "Dependent" has the meaning given in s. 635.02 (3c).
SB77, s. 3412
10Section
3412. 252.16 (1) (b) of the statutes is amended to read:
SB77,1381,1611
252.16
(1) (b) "Group health plan" means an insurance policy or a partially or
12wholly uninsured plan or program, that provides hospital, medical or other health
13coverage to members of a group
, whether or not dependents of the members are also
14covered. The term includes a medicare supplement policy, as defined in s. 600.03
15(28r), but does not include a medicare replacement policy, as defined in s. 600.03
16(28p), or a long-term care insurance policy, as defined in s. 600.03 (28g).
SB77, s. 3413
17Section
3413. 252.16 (1) (c) of the statutes is created to read:
SB77,1381,2418
252.16
(1) (c) "Individual health policy" means an insurance policy or a
19partially or wholly uninsured plan or program, that provides hospital, medical or
20other health coverage to an individual on an individual basis and not as a member
21of a group, whether or not dependents of the individual are also covered. The term
22includes a medicare supplement policy, as defined in s. 600.03 (28r), but does not
23include a medicare replacement policy, as defined in s. 600.03 (28p), or a long-term
24care insurance policy, as defined in s. 600.03 (28g).
SB77, s. 3414
25Section
3414. 252.16 (1) (d) of the statutes is created to read:
SB77,1382,1
1252.16
(1) (d) "Medicare" has the meaning given in s. 49.498 (1) (f).
SB77, s. 3415
2Section
3415. 252.16 (2) of the statutes is amended to read:
SB77,1382,93
252.16
(2) Subsidy program. From the appropriation under s. 20.435
(1) (5) 4(am), the department shall distribute funding in each fiscal year to subsidize the
5premium costs under s. 252.17 (2) and, under this subsection, the premium costs for
6continuation health insurance coverage available to an individual who has HIV
7infection and who is unable to continue his or her employment or must reduce his or
8her hours because of an illness or medical condition arising from or related to HIV
9infection.
SB77, s. 3416
10Section
3416. 252.16 (3) (b) of the statutes is amended to read:
SB77,1382,1311
252.16
(3) (b) Has a family income, as defined by rule under sub. (6), that does
12not exceed
200% 300% of the federal poverty line, as defined under
42 USC 9902 (2),
13for a family the size of the individual's family.
SB77, s. 3417
14Section
3417. 252.16 (3) (d) of the statutes is repealed.
SB77, s. 3418
15Section
3418. 252.16 (3) (dm) of the statutes is created to read:
SB77,1382,1716
252.16
(3) (dm) Has, or is eligible for, health insurance coverage under a group
17health plan or an individual health policy.
SB77, s. 3419
18Section
3419. 252.16 (3) (e) 1. of the statutes is amended to read:
SB77,1382,2419
252.16
(3) (e) 1. Contact the individual's
employer or former employer or
the
20administrator of the group health plan under which the individual is covered, health
21insurer to verify the individual's eligibility for
continuation coverage
under the group
22health plan or individual health policy and the premium and any other conditions
23of coverage, to make premium payments as provided in sub. (4) and for other
24purposes related to the administration of this section.
SB77, s. 3420
25Section
3420. 252.16 (3) (e) 1m. of the statutes is created to read:
SB77,1383,4
1252.16
(3) (e) 1m. Contact the individual's employer or former employer to
2verify that the individual's employment has been terminated or that his or her hours
3have been reduced and for other purposes related to the administration of this
4section.
SB77, s. 3421
5Section
3421. 252.16 (3) (e) 2. of the statutes is amended to read:
SB77,1383,86
252.16
(3) (e) 2. Make any necessary disclosure to the individual's
employer or 7former employer or
the administrator of the group health plan under which the
8individual is covered health insurer regarding the individual's HIV status.
SB77, s. 3422
9Section
3422. 252.16 (3) (f) of the statutes is repealed.
SB77, s. 3423
10Section
3423. 252.16 (3) (g) of the statutes is repealed.
SB77, s. 3424
11Section
3424. 252.16 (3) (h) of the statutes is repealed.
SB77, s. 3425
12Section
3425. 252.16 (4) (a) of the statutes is amended to read:
SB77,1384,513
252.16
(4) (a) Except as provided in pars. (b) and
(c) (d), if an individual satisfies
14sub. (3), the department shall pay the full amount of each premium payment for
15continuation coverage that is due from the individual under s. 632.897 (2) (d), 29 USC
161162 (3) or 42 USC 300bb-2 (3), whichever is applicable the individual's health
17insurance coverage under the group health plan or individual health policy under
18sub. (3) (dm), on or after the date on which the individual becomes eligible for a
19subsidy under sub. (3).
The Except as provided in pars. (b) and (d), the department
20may not refuse to shall pay the full amount of each premium payment
because the
21continuation coverage that is available to the individual who satisfies sub. (3) 22regardless of whether the individual's health insurance coverage under sub. (3) (dm) 23includes coverage of the individual's
spouse and dependents. Except as provided in
24par. (b), the department shall terminate the payments under this section when the
25individual's
continuation health insurance coverage ceases
, or when the individual
1no longer satisfies sub. (3)
or upon the expiration of 29 months after the continuation
2coverage began, whichever occurs first. The department may not make payments
3under this section for premiums for
a conversion policy or plan that is available to
4an individual under s. 632.897 (4) or (6), 29 USC 1162 (5) or 42 USC 300bb-2 (5) 5medicare.
SB77, s. 3426
6Section
3426. 252.16 (4) (b) of the statutes is amended to read:
SB77,1384,97
252.16
(4) (b) The obligation of the department to make payments under this
8section is subject to the availability of funds in the appropriation under s. 20.435
(1) 9(5) (am).
SB77, s. 3427
10Section
3427. 252.16 (4) (c) of the statutes is repealed.
SB77, s. 3428
11Section
3428. 252.16 (4) (d) of the statutes is created to read: