Ins 8.77(2)(a)5.5. Treatment in a hospital emergency room, unless immediately admitted to the hospital: $75. Ins 8.77(2)(a)7.7. Prescription drugs, proprietary: $20 or the cost of the prescription, whichever is less. Ins 8.77(2)(a)8.8. Prescription drugs, generic: $10, or the cost of the prescription, whichever is less. Ins 8.77(2)(b)(b) The copayments specified in par. (a) 1. and 2. do not apply to professional services in connection with prenatal care or well baby care from birth to 24 months. Ins 8.77(3)(3) Coinsurance. Except as provided in sub. (4) and s. Ins 8.79, for each insured individual, a plan shall pay the following portions of the amount by which covered charges in a calendar year exceed the copayments: Ins 8.77(3)(a)(a) For all charges other than for the treatment of nervous or mental disorders or alcoholism or other drug abuse problems: Ins 8.77(3)(a)1.1. 80% of the first $5,000 of charges until the plan has paid $4,000. Ins 8.77(3)(b)(b) For the treatment of nervous or mental disorders or alcoholism or other drug abuse problems, 80% of the charges until the plan has paid $1,400 or the plan limit under s. Ins 8.75 (2) has been met. Ins 8.77(4)(4) Exception for health maintenance organizations. A plan offered by a health maintenance organization that requires participants to use only specified health care providers may elect to offer either copayments or coinsurance if the amount for which a participant is responsible is the actuarial equivalent of the copayments and coinsurance required under subs. (2) and (3). Upon request, a health maintenance organization shall provide the office of the commissioner of insurance with sufficient documentation to support its determination of actuarial equivalence. Ins 8.77(5)(5) Deductibles and other cost-sharing prohibited. A plan shall not include an annual deductible or any copayment or coinsurance requirement other than those specified in this section, except as provided in s. Ins 8.79. Ins 8.77 HistoryHistory: Cr. Register, June, 1993, No. 450, eff. 7-1-93. Ins 8.78Ins 8.78 Participation; enrollment. Ins 8.78(1)(a)(a) A small employer insurer shall offer a plan to any small employer meeting the definition of eligible employer in s. 635.20 (2), Stats., regardless of the number required for participation in other small group health benefit plans offered by the small employer insurer. Ins 8.78(1)(b)(b) In par. (c), the number of persons in a group means the number of eligible employees without other qualifying coverage, as defined in s. 635.02 (5m), Stats. Ins 8.78(1)(c)(c) A small employer insurer may impose participation requirements on a plan offered to a small employer, not to exceed the following: Ins 8.78(2)(2) Probationary period. A small employer may impose a waiting period of not more than 90 days from the date of hire before a new employee is eligible to enroll in the small employer’s plan. Ins 8.78(3)(a)(a) A plan may require that new employees of a small employer and newly eligible dependents enroll in the plan within 30 days after becoming eligible to enroll.