SB37,9,2320 632.746 (8) (a) (intro.) A health maintenance organization that offers a group
21health benefit plan and that does not impose any preexisting condition exclusion
22under sub. (1) with respect to a particular coverage option may impose an affiliation
23period for that coverage option, but only if all of the following apply:

1632.748 (2) An insurer offering a group health benefit plan may not require any
2individual, as a condition of enrollment or continued enrollment under the plan, to
3pay, on the basis of any health status-related factor with respect to the individual
4or a dependent of the individual, a premium or contribution or a deductible,
5copayment, or coinsurance amount that is greater than the premium or contribution
6or deductible, copayment, or coinsurance amount respectively for a similarly
7situated individual enrolled under the plan.

SB37,10,169 632.76 (2) (a) No claim for loss incurred or disability commencing after 2 years
10from the date of issue of the policy may be reduced or denied on the ground that a
11disease or physical condition existed prior to the effective date of coverage, unless the
12condition was excluded from coverage by name or specific description by a provision
13effective on the date of loss. This paragraph does not apply to a group health benefit
14plan, as defined in s. 632.745 (9), which is subject to s. 632.746 , a disability insurance
15policy, as defined in s. 632.895 (1) (a), or a self-insured health plan, as defined in s.
16632.85 (1) (c).

SB37,10,2217 (ac) 1. Notwithstanding par. (a), no No claim or loss incurred or disability
18commencing after 12 months from the date of issue of under an individual disability
19insurance policy, as defined in s. 632.895 (1) (a), may be reduced or denied on the
20ground that a disease or physical condition existed prior to the effective date of
21coverage, unless the condition was excluded from coverage by name or specific
22description by a provision effective on the date of the loss.

SB37,11,423 2. Except as provided in subd. 3., an An individual disability insurance policy,
24as defined in s. 632.895 (1) (a), other than a short-term policy subject to s. 632.7495
25(4) and (5), may not define a preexisting condition more restrictively than a condition

1that was present before the date of enrollment for the coverage, whether physical or
2mental, regardless of the cause of the condition, for which and regardless of whether
3medical advice, diagnosis, care, or treatment was recommended or received within
412 months before the effective date of coverage.

SB37,11,187 632.795 (4) (a) An insurer subject to sub. (2) shall provide coverage under the
8same policy form and for the same premium as it originally offered in the most recent
9enrollment period, subject only to the medical underwriting used in that enrollment
10period. Unless otherwise prescribed by rule, the insurer may apply deductibles,
11preexisting condition limitations, waiting periods , or other limits only to the extent
12that they would have been applicable had coverage been extended at the time of the
13most recent enrollment period and with credit for the satisfaction or partial
14satisfaction of similar provisions under the liquidated insurer's policy or plan. The
15insurer may exclude coverage of claims that are payable by a solvent insurer under
16insolvency coverage required by the commissioner or by the insurance regulator of
17another jurisdiction. Coverage shall be effective on the date that the liquidated
18insurer's coverage terminates.

SB37,12,220 632.895 (8) (d) Coverage is required under this subsection despite whether the
21woman shows any symptoms of breast cancer. Except as provided in pars. (b), (c), and
22(e), coverage under this subsection may only be subject to exclusions and limitations,
23including deductibles, copayments and restrictions on excessive charges, that are
24applied to other radiological examinations covered under the disability insurance

1policy. Coverage under this subsection may not be subject to any deductibles,
2copayments, or coinsurance.

SB37,12,54 632.895 (13m) Preventive services. (a) In this section, “self-insured health
5plan” has the meaning given in s. 632.85 (1) (c).

SB37,12,86 (b) Every disability insurance policy, except any disability insurance policy that
7is described in s. 632.745 (11) (b) 1. to 12., and every self-insured health plan shall
8provide coverage for all of the following preventive services:

SB37,12,99 1. Mammography in accordance with sub. (8).

SB37,12,1110 2. Genetic breast cancer screening and counseling and preventive medication
11for adult women at high risk for breast cancer.

SB37,12,1312 3. Papanicolaou test for cancer screening for women 21 years of age or older
13with an intact cervix.

SB37,12,1514 4. Human papillomavirus testing for women who have attained the age of 30
15years but have not attained the age of 66 years.

SB37,12,1616 5. Colorectal cancer screening in accordance with sub. (16m).

SB37,12,1917 6. Annual tomography for lung cancer screening for adults who have attained
18the age of 55 years but have not attained the age of 80 years and who have health
19histories demonstrating a risk for lung cancer.