Ins 8.60   A small employer insurer may accept an employee’s or dependent’s waiver of coverage during an initial enrollment period only under limited conditions.

Ins 8.61   Small employer insurers shall offer coverage to new entrants.

Ins 8.62   Small employer insurers shall offer an open enrollment for individuals excluded prior to enactment or application of the small employer health insurance law.

Ins 8.63   Small employer insurers shall offer coverage to late enrollees.

Ins 8.64   Small employer insurers may not participate with a small employer to coerce, or discriminate among, eligible employees or dependents.

Ins 8.65   A small employer insurer shall require small employers to provide documentation to establish that waivers of coverage are voluntary and permitted.

Ins 8.66   Qualifying coverage for portability and late enrollees; transition.

Ins 8.67   Restrictive riders prohibited.

Ins 8.68   Fair marketing standards.

Ins 8.69   Minimum standards for market share of basic health benefit plans in force; exemption from guarantee issuance of the basic health benefit plan.

Subchapter IV — Basic Health Benefit Plan For Small Employers

Ins 8.70   Purpose.

Ins 8.71   Definitions.

Ins 8.72   Basic benefits.

Ins 8.73   Health insurance mandates.

Ins 8.74   Policy title; term.

Ins 8.75   Limitations and restrictions.

Ins 8.76   Policy terms; exclusions; limitations.

Ins 8.77   Copayments; coinsurance.

Ins 8.78   Participation; enrollment.

Ins 8.79   Managed care options.

Ins 8.80   Rating.

Ins 8.81   Form approval and marketing.

Ch. Ins 8 Note Note: Sections Ins 8.20 to 8.32 were created as emergency rules effective October, 1, 1991. Sections Ins 8.40 to 8.56 were created as emergency rules effective February 12, 1992.

subch. I of ch. Ins 8 Subchapter I — Employee Welfare Funds

Ins 8.11 Ins 8.11 County and school district self-insured employee health care benefits: excess or stop-loss insurance requirements.

Ins 8.11(1) (1) Purpose. This section interprets ss. 59.52 (11) (c) and 120.13 (2) (c), Stats., for the purpose of prescribing detailed requirements for excess or stop-loss insurance for self-insured employee health care benefit plans provided by counties or school districts.

Ins 8.11(2) (2) Scope. This section applies to any county or school district that alone or together with one or more counties or one or more school districts provides employee health care benefits on a self-insured basis to less than 1,000 covered employees.