Wisconsin Administrative Code
Office of the Commissioner of Insurance
Chapter Ins 8 - Employee Welfare Funds; Employee Benefit Plan Administrators; Small Employer Health Insurance
Subchapter III - Small Employer Health Insurance
Section 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
Universal Citation: WI Admin Code § Ins 8.60
Current through February 24, 2025
(1) A small employer insurer may not issue a policy unless during the initial enrollment period all the eligible employees and dependents of eligible employees elect and are provided coverage under the policy, except a small employer insurer may permit an individual to decline coverage in the initial enrollment period if the small employer insurer determines:
(b) The individual elected coverage under
another policy during an enrollment period permitted under s.
Ins 8.59(3);
(c) The individual does not have a risk
characteristic or other attribute that would be the sole cause for the small
employer insurer to make a decision with respect to premiums or eligibility for
a policy that is adverse to the small employer;
(2) A small employer insurer may permit an individual to decline coverage under a policy under sub. (1) only if the insurer complies with ss. Ins 8.64 and 8.65.
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