Wis. Admin. Code Office of the Commissioner of Insurance Ins 8.60

Current through May 28, 2024
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
(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.

Wis. Admin. Code Office of the Commissioner of Insurance Ins 8.60

Cr. Register, November, 1993, No. 455, eff. 2-1-94; correction in (1) (a), (d) and (e) made under s. 13.93(2m) (b) 7, Stats., Register October 2002 No. 562.
Amended by, CR 17-015: r. (1) (a), (d), (e) Register December 2017 No. 744, eff. 1/1/2018