Ins 8.11 NoteIn this example, the plan covers 250 employees. Table 7 shows that at 250 employees, the probability that aggregate claims will exceed 125% of expected claims is 18% (1 minus .82).

Ins 8.11 NoteIn order to comply with the rule, this probability must be less than 5%. In this example, the probability is 18%. Therefore, the school district or county must purchase aggregate stop-loss insurance at a level sufficient to bring this probability down to less than 5%. Stop-loss insurance is sold at various levels, including a level at which the probability that aggregate claims will exceed 125% of expected claims is less than 5%. At a minimum, the school district or county should purchase stop-loss insurance at this level.

- See PDF for table

Ins 8.11(7)(7) Actuary qualifications. The actuarial certification specified in sub. (6) shall be signed by an actuary who satisfies the requirements of s. Ins 6.12.

Ins 8.11 HistoryHistory: Cr. Register, April, 1988, No. 388, eff. 5-1-88; correction in (1) made under s. 13.93 (2m) (b) 7., Stats., Register October 2002 No. 562.

subch. II of ch. Ins 8Subchapter II — Employee Benefit Plan Administrators

Ins 8.20Ins 8.20 Purpose. This subchapter interprets and implements ch. 633, Stats.

Ins 8.20 HistoryHistory: Cr. Register, April, 1992, No. 436, eff. 5-1-92.

Ins 8.22Ins 8.22 Definitions. In this subchapter:

Ins 8.22(1)(1) “Administrator” has the meaning given in s. 633.01 (1), Stats.

Ins 8.22(2)(2) “Commissioner” means the commissioner of insurance.

Ins 8.22(3)(3) “Employee” has the meaning given in s. 633.01 (2), Stats.

Ins 8.22(4)(4) “Office” means the office of the commissioner.

Ins 8.22(5)(5) “Plan” has the meaning given in s. 633.01 (4), Stats.

Ins 8.22(6)(6) “Principal” has the meaning given in s. 633.01 (5), Stats.

Ins 8.22 HistoryHistory: Cr. Register, April, 1992, No. 436, eff. 5-1-92.

Ins 8.24Ins 8.24 Exemptions.

Ins 8.24(1)(1) Each of the following is exempt from ch. 633, Stats., and this subchapter for the portion of its business subject to regulation under the specified sections:

Ins 8.24(1)(a)(a) An administrator of one or more self-insured, partially insured or divided insurance worker’s compensation plans subject to s. DWD 80.60 or 80.61.

Ins 8.24(1)(b)(b) A warrantor or warranty plan administrator, as defined in s. Ins 15.01 (4) (c) or (e), that holds a valid certificate of authority under ch. Ins 15.

Ins 8.24(2)(2) An administrator that is partially exempt under sub. (1) (a) or (b) is subject to ch. 633, Stats., and this subchapter for any portion of its business that is outside the scope of the exemption.

Ins 8.24 HistoryHistory: Cr. Register, April, 1992, No. 436, eff. 5-1-92; correction in (1) (a) made under s. 13.93 (2m) (b) 7., Stats., Register, June, 1997, No. 498.