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SB669,1,3 1An Act to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983
2(1) (intro.); and to create 609.40 and 632.7498 of the statutes; relating to:
3special enrollment period for pregnancy.
Analysis by the Legislative Reference Bureau
This bill requires health insurance plans and self-insured governmental
health plans to allow a pregnant individual who is eligible for coverage under the
plan, and any individual who is eligible for coverage because of a relationship to the
pregnant individual, to enroll in the plan at any time during the pregnancy. Under
the bill, the coverage must begin no later than the first day of the first calendar
month in which the pregnant individual receives medical verification of the
pregnancy, except that the pregnant individual may direct coverage to begin on the
first day of any month occurring during the pregnancy. The bill also requires that
insurers offering group health insurance coverage notify individuals of the special
enrollment period at or before the time the individual is initially offered the
opportunity to enroll in the plan.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB669,1 4Section 1. 40.51 (8) of the statutes, as affected by 2021 Wisconsin Act 9, is
5amended to read:
SB669,2,5
140.51 (8) Every health care coverage plan offered by the state under sub. (6)
2shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.729, 632.746
3(1) to (8) and (10), 632.747, 632.748, 632.7498, 632.798, 632.83, 632.835, 632.85,
4632.853, 632.855, 632.861, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m)
5and (8) to (17), and 632.896.
SB669,2 6Section 2. 40.51 (8m) of the statutes, as affected by 2021 Wisconsin Act 9, is
7amended to read:
SB669,2,118 40.51 (8m) Every health care coverage plan offered by the group insurance
9board under sub. (7) shall comply with ss. 631.95, 632.729, 632.746 (1) to (8) and (10),
10632.747, 632.748, 632.7498, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
11632.861, 632.867, 632.885, 632.89, and 632.895 (11) to (17).
SB669,3 12Section 3. 66.0137 (4) of the statutes, as affected by 2021 Wisconsin Act 9, is
13amended to read:
SB669,2,2014 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
15a village provides health care benefits under its home rule power, or if a town
16provides health care benefits, to its officers and employees on a self-insured basis,
17the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
18632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.7498, 632.798, 632.85,
19632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6), 632.885, 632.89, 632.895 (9) to
20(17), 632.896, and 767.513 (4).
SB669,4 21Section 4. 120.13 (2) (g) of the statutes, as affected by 2021 Wisconsin Act 9,
22is amended to read:
SB669,3,223 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
2449.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.729, 632.746 (10) (a) 2. and (b) 2.,

1632.747 (3), 632.7498, 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87
2(4) to (6), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
SB669,5 3Section 5. 185.983 (1) (intro.) of the statutes, as affected by 2021 Wisconsin
4Act 9
, is amended to read:
SB669,3,125 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
6cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
7646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
8601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
9631.95, 632.72 (2), 632.729, 632.745 to 632.749, 632.7498, 632.775, 632.79, 632.795,
10632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6), 632.885,
11632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630,
12635, 645, and 646, but the sponsoring association shall:
SB669,6 13Section 6 . 609.40 of the statutes is created to read:
SB669,3,15 14609.40 Special enrollment period for pregnancy. Preferred provider
15plans and defined network plans are subject to s. 632.7498.
SB669,7 16Section 7 . 632.7498 of the statutes is created to read:
SB669,3,18 17632.7498 Special enrollment period for pregnancy. (1) Definitions. In
18this section:
SB669,3,1919 (a) “Health benefit plan” has the meaning given in s. 632.745 (11).
SB669,3,2020 (b) “Self-insured health plan” has the meaning given in s. 632.85 (1) (c).
SB669,4,3 21(2) Special enrollment period. A health benefit plan or self-insured health
22plan shall allow a pregnant individual who is eligible for coverage under the plan,
23and any individual who is eligible for coverage under the plan because of a
24relationship to the pregnant individual, to enroll for coverage at any time during the
25pregnancy. The coverage shall begin no later than the first day of the first calendar

1month in which the pregnant individual receives medical verification of the
2pregnancy, except that a pregnant individual may direct coverage to begin on the
3first day of any month occurring during the pregnancy.
SB669,4,7 4(3) Notice. An insurer offering group health insurance coverage in this state
5shall provide notice of the special enrollment period under sub. (2) at or before the
6time an individual is initially offered the opportunity to enroll for coverage under the
7plan.
SB669,8 8Section 8 . Initial applicability.
SB669,4,119 (1) (a) For policies and plans containing provisions inconsistent with this act,
10the act first applies to policy or plan years beginning on January 1 of the year
11following the year in which this paragraph takes effect, except as provided in par. (b).
SB669,4,1612 (b) For policies and plans that are affected by a collective bargaining agreement
13containing provisions inconsistent with this act, this act first applies to policy or plan
14years beginning on the effective date of this paragraph or on the day on which the
15collective bargaining agreement is newly established, extended, modified, or
16renewed, whichever is later.
SB669,9 17Section 9 . Effective date.
SB669,4,1918 (1) This act takes effect on the first day of the 4th month beginning after
19publication.
SB669,4,2020 (End)
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