Wisconsin Statutes 635.11 – Disclosure of rating factors and renewability provisions
Current as of: 2023 | Check for updates
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Terms Used In Wisconsin Statutes 635.11
- Following: when used by way of reference to any statute section, means the section next following that in which the reference is made. See Wisconsin Statutes 990.01
- Qualified: when applied to any person elected or appointed to office, means that such person has done those things which the person was by law required to do before entering upon the duties of the person's office. See Wisconsin Statutes 990.01
(1m) Before the sale of a plan or policy subject to this chapter, a small employer insurer shall disclose to a small employer all of the following:
(a) The small employer insurer’s right to increase premium rates and the factors limiting the amount of increase.
(b) The extent to which benefit design characteristics and case characteristics affect premium rates.
(c) The extent to which rating factors and changes in benefit design characteristics and case characteristics affect changes in premium rates.
(d) The small employer’s renewability rights.
(e) As part of the small employer insurer’s solicitation and sales materials, the availability of the information under par. (f).
(f) Upon the request of the small employer, the following information:
1. The provisions, if any, of the plan or policy relating to preexisting condition exclusions.
2. The benefits and premiums available under all health insurance coverage offered by the small employer insurer for which the small employer is qualified.
(2m) Information required to be disclosed under this section shall be provided in a manner that is understandable to a small employer and shall be sufficient to reasonably inform a small employer of the small employer’s rights and obligations under the health insurance coverage.
(3m) A small employer insurer is not required under this section to disclose information that is proprietary or trade secret information under applicable law.