Wis. Admin. Code Office of the Commissioner of Insurance Ins 8.46

Current through May 28, 2024

Section Ins 8.46 - Required policy provisions

Each policy shall include all of the following:

(1) On the face page or first page, a statement that the policy is guaranteed renewable except for the reasons stated in the policy, which shall be consistent with s. 635.07(1) and (2), Stats.

Note: 1995 Wis. Act 289 repealed s. 635.07, Stats. See ss. 632.749(2) and 635.19(3), Stats.

(2) A statement of the minimum number of eligible employees required in order to keep the policy in effect, expressed either as a schedule or as a percentage of eligible employees or both. The small employer insurer shall state the method for determining the minimum number required in the policy or employer agreement. For purposes of this subsection, "eligible employee" does not include any person who has continued coverage under s. 632.897(2) (b) 2, Stats., under a small employer's group policy and the number of individuals in a group shall not include individuals with other qualifying coverage except as permitted under s. 635.17(2) (c) 2, Stats. A small employer insurer may not impose more stringent requirements than the following:

Note: 1995 Wis. Act 289 repealed s. 635.17, Stats. See s. 632.749(2), Stats.

(a) For a small employer with more than 10 eligible employees, 70% of the group.

(b) For a small employer with 10 eligible employees, 6 eligible employees.

(c) For a small employer with 8 or 9 eligible employees, 5 eligible employees.

(d) For a small employer with 7 eligible employees, 4 eligible employees.

(e) For a small employer with 5 or 6 eligible employees, 3 eligible employees.

(f) For a small employer with 2 to 4 eligible employees, 2 eligible employees.

Wis. Admin. Code Office of the Commissioner of Insurance Ins 8.46

Cr. Register, October, 1992, No. 442, eff. 11-1-92; am. (2), Register, November, 1993, No. 455, eff. 2-1-94.