SB111,1525,1815 632.746 (8) (a) (intro.) A health maintenance organization that offers a group
16health benefit plan and that does not impose any preexisting condition exclusion
17under sub. (1) with respect to a particular coverage option may impose an affiliation
18period for that coverage option, but only if all of the following apply:

SB111,1526,220 632.748 (2) An insurer offering a group health benefit plan may not require any
21individual, as a condition of enrollment or continued enrollment under the plan, to
22pay, on the basis of any health status-related factor with respect to the individual
23or a dependent of the individual, a premium or contribution or a deductible,
24copayment, or coinsurance amount that is greater than the premium or contribution

1or deductible, copayment, or coinsurance amount respectively for a similarly
2situated individual enrolled under the plan.

SB111,1526,44 632.7495 (4) (b) The coverage has a term of not more than 12 3 months.

SB111,1526,106 632.7495 (4) (c) The coverage term aggregated with all consecutive periods of
7the insurer's coverage of the insured by individual health benefit plan coverage not
8required to be renewed under this subsection does not exceed 18 6 months. For
9purposes of this paragraph, coverage periods are consecutive if there are no more
10than 63 days between the coverage periods.

SB111,1526,14 12632.7496 Coverage requirements for short-term plans. (1) Definition.
13In this section, “short-term, limited duration plan” means an individual health
14benefit plan described in s. 632.7495 (4) that an insurer is not required to renew.

SB111,1526,17 15(2) Guaranteed issue. Every short-term, limited duration plan shall accept
16every individual in this state who applies for coverage whether or not any individual
17has a preexisting condition.

SB111,1526,22 18(3) Prohibiting discrimination based on health status. (a) A short-term,
19limited duration plan may not establish rules for the eligibility of any individual to
20enroll, or for the continued eligibility of any individual to remain enrolled, under the
21plan based on any of the following health status-related factors in relation to the
22individual or a dependent of the individual:

SB111,1526,2323 1. Health status.

SB111,1526,2424 2. Medical condition, including both physical and mental illnesses.

SB111,1526,2525 3. Claims experience.

SB111,1527,1

14. Receipt of health care.

SB111,1527,22 5. Medical history.

SB111,1527,33 6. Genetic information.

SB111,1527,54 7. Evidence of insurability, including conditions arising out of acts of domestic
5violence.

SB111,1527,66 8. Disability.

SB111,1527,137 (b) A short-term, limited duration plan may not require any individual, as a
8condition of enrollment or continued enrollment under the plan, to pay, on the basis
9of any health status-related factor under par. (a) with respect to the individual or a
10dependent of the individual, a premium or contribution or a deductible, copayment,
11or coinsurance amount that is greater than the premium or contribution or
12deductible, copayment, or coinsurance amount respectively for a similarly situated
13individual enrolled under the plan.

SB111,1527,15 14(4) Premium rate variation. A short-term, limited duration plan may vary
15premium rates for a specific plan based only on the following considerations: