SB111,2984 Section 2984 . 632.895 (17) (b) 2. of the statutes is amended to read:

SB111,1576,8 632.895 (17) (b) 2. Outpatient consultations, examinations, procedures, and medical services that are necessary to prescribe, administer, maintain, or remove a contraceptive, if covered for any other drug benefits under the policy or plan sterilization procedures, and patient education and counseling for all females with reproductive capacity.

SB111,2985 Section 2985 . 632.895 (17) (c) of the statutes is amended to read:

SB111,1576,24 632.895 (17) (c) Coverage under par. (b) may be subject only to the exclusions, and limitations, or cost-sharing provisions that apply generally to the coverage of outpatient health care services, preventive treatments and services, or prescription drugs and devices that is provided under the policy or self-insured health plan. A disability insurance policy or self-insured health plan may not apply a deductible or impose a copayment or coinsurance to at least one of each type of contraceptive method approved by the federal food and drug administration for which coverage is required under this subsection. The disability insurance policy or self-insured health plan may apply reasonable medical management to a method of contraception to limit coverage under this subsection that is provided without being subject to a deductible, copayment, or coinsurance to prescription drugs without a brand name. The disability insurance policy or self-insured health plan may apply a deductible or impose a copayment or coinsurance for coverage of a contraceptive that is prescribed for a medical need if the services for the medical need would otherwise be subject to a deductible, copayment, or coinsurance.

SB111,2986 Section 2986 . 632.897 (11) (a) of the statutes is amended to read:

SB111,1577,9 632.897 (11) (a) Notwithstanding subs. (2) to (10), the commissioner may promulgate rules establishing standards requiring insurers to provide continuation of coverage for any individual covered at any time under a group policy who is a terminated insured or an eligible individual under any federal program that provides for a federal premium subsidy for individuals covered under continuation of coverage under a group policy, including rules governing election or extension of election periods, notice, rates, premiums, premium payment, application of preexisting condition exclusions, election of alternative coverage, and status as an eligible individual, as defined in s. 149.10 (2t), 2011 stats.

SB111,2987 Section 2987 . Chapter 633 (title) of the statutes is amended to read:

SB111,1577,14 CHAPTER 633 EMPLOYEE BENEFIT PLAN ADMINISTRATORS AND, PRINCIPALS , and Pharmacy benefit managers

SB111,2988 Section 2988 . 633.01 (1) (intro.) and (c) of the statutes are amended to read:

SB111,1577,19 633.01 (1) (intro.) “Administrator" means a person who directly or indirectly solicits or collects premiums or charges or otherwise effects coverage or adjusts or settles claims for a an employee benefit plan, but does not include the following persons if they perform these acts under the circumstances specified for each:

SB111,1577,22 (c) A creditor on behalf of its debtor, if to obtain payment, reimbursement or other method of satisfaction from a an employee benefit plan for any part of a debt owed to the creditor by the debtor.

SB111,2989 Section 2989 . 633.01 (2r) of the statutes is created to read:

SB111,1577,24 633.01 (2r) “Enrollee” has the meaning given in s. 632.861 (1) (b).

SB111,2990 Section 2990 . 633.01 (3) of the statutes is amended to read:

SB111,1578,2 633.01 (3) “Insured employee" means an employee who is a resident of this state and who is covered under a an employee benefit plan.

SB111,2991 Section 2991 . 633.01 (4) of the statutes is renumbered 633.01 (2g) and amended to read:

SB111,1578,10 633.01 (2g) “Plan Employee benefit plan" means an insured or wholly or partially self-insured employee benefit plan which by means of direct payment, reimbursement or other arrangement provides to one or more employees who are residents of this state benefits or services that include, but are not limited to, benefits for medical, surgical or hospital care, benefits in the event of sickness, accident, disability or death, or benefits in the event of unemployment or retirement.

SB111,2992 Section 2992 . 633.01 (4g) of the statutes is created to read:

SB111,1578,13 633.01 (4g) “Pharmacy benefit manager” has the meaning given in s. 632.865 (1) (c).

SB111,2993 Section 2993 . 633.01 (4r) of the statutes is created to read:

SB111,1578,16 633.01 (4r) “Prescription drug benefit” has the meaning given in s. 632.865 (1) (e).

SB111,2994 Section 2994 . 633.01 (5) of the statutes is amended to read:

SB111,1578,19 633.01 (5) “Principal" means a person, including an insurer, that uses the services of an administrator to provide a an employee benefit plan.

SB111,2995 Section 2995 . 633.01 (6) of the statutes is created to read:

SB111,1578,21 633.01 (6) “Self-insured health plan" has the meaning given in s. 632.85 (1) (c).

SB111,2996 Section 2996 . 633.04 (intro.) of the statutes is amended to read:

SB111,1579,2 633.04 Written agreement required. (intro.) An administrator may not administer a an employee benefit plan in the absence of a written agreement between the administrator and a principal. The administrator and principal shall each retain a copy of the written agreement for the duration of the agreement and for 5 years thereafter. The written agreement shall contain the following terms:

SB111,2997 Section 2997 . 633.05 of the statutes is amended to read:

SB111,1579,10 633.05 Payment to administrator. If a principal is an insurer, payment to the administrator of a premium or charge by or on behalf of an insured employee is payment to the insurer, but payment of a return premium or claim by the insurer to the administrator is not payment to an insured employee until the payment is received by the insured employee. This section does not limit any right of the insurer against the administrator for failure to make payments to the insurer or an insured employee.