Wisconsin Code § 109.075

Cessation of health care benefits affecting employees, retirees and dependents; advance notice required
Open in Lexace · Ask the AI about this section
(1) In this section:
(a) “Affected employee, retiree or dependent” means an employee, retired employee or a surviving covered dependent of an
employee or retired employee who loses, or may reasonably be
expected to lose, his or her health care benefits provided by an
employer who is required to give notice under sub. (2) because
the employer has decided to cease providing health care benefits.
(b) “Employee benefit plan” means a plan as defined in 29
USC 1002 (3).
(c) “Employer” means any business enterprise that employs
50 or more persons in this state.
(d) “Health care benefits” means coverage of health care expenses under an employee benefit plan.
(2) Subject to sub. (5) or (6), an employer who has decided to
cease providing health care benefits in this state shall promptly
notify any affected employee, retiree or dependent and any collective bargaining representative of any affected employee, retiree
or dependent in writing of such action no later than 60 days prior
to the date that the cessation of health care benefits takes place.
This subsection does not apply to a cessation of health care benefits that is caused by a strike or lockout.
(3) (a) If an employer fails to give timely notice to an affected
employee, retiree or dependent as required under sub. (2), the affected employee, retiree or dependent may recover, as provided
under sub. (4), the value of any health care benefits that the affected employee, retiree or dependent would have received during
the recovery period described under par. (c), but did not receive
because of the cessation of health care benefits, including the cost
of any medical treatment incurred that would have been covered
but for the cessation of health care benefits.
(b) The amount that an affected employee may recover under
par. (a) shall be reduced by any cost that the affected employer incurs by crediting the affected employee, under an employee benefit plan, for time not actually served because of a business closing, as defined in s. 109.07 (1) (b), or mass layoff, as defined in s.
109.07 (1) (f).
(c) The recovery period under par. (a) begins on the day that
the cessation of health care benefits occurs. The recovery period
equals the number of days in the period beginning on the day on
which an employer is required to give notice under sub. (2) and
ending on whichever of the following occurs first:
1. The day that the employer actually gave the notice to the
affected employee, retiree or dependent.
2. The day that the cessation of health care benefits occurred.
(4) (a) An affected employee, retiree or dependent whose
employer or former employer, or whose spouse’s or parent’s employer or former employer, fails to notify timely the affected employee, retiree or dependent under sub. (2) may file a claim with
the department. If the affected employee, retiree or dependent
files a claim with the department no later than 300 days after the
cessation of health care benefits occurred, the department shall,
in the manner provided in s. 109.09, investigate the claim, determine the number of days that the employer or former employer
was late in providing notice and, on behalf of the affected employee, retiree or dependent, attempt to recover from the employer or former employer the payment under sub. (3).
(b) If the department does not recover payment within 180
days after a claim is filed or within 30 days after it notifies the affected employee, retiree or dependent of its determination under
par. (a), whichever is first, the department shall refer the claim to
the department of justice. The department of justice may bring
an action in circuit court on behalf of the affected employee, retiree or dependent to recover the payment under sub. (3).
(c) If the department of justice does not bring an action under
par. (b) within 120 days after the claim is referred to it, the affected employee, retiree or dependent may bring an action in circuit court to recover the payment under sub. (3). If the affected
employee, retiree or dependent prevails in the action, he or she
shall also recover costs under ch. 814 and, notwithstanding s.
814.04 (1), reasonable attorney fees.
(d) An action under this section shall be begun within one
year after the department refers the claim to the department of
justice under par. (b), or be barred.
(5) (a) An employer is not liable under this section for a failure to give notice to any person under sub. (2), if the department
determines all of the following:
1. When the notice under sub. (2) would have been timely
given, that the employer was actively seeking capital or business
to enable the employer to avoid or postpone indefinitely the cessation of health care benefits.
2. That the employer reasonably and in good faith believed
that giving the notice required under sub. (2) would have prevented the employer from obtaining the capital or business.
(b) The department may not determine that an employer was
actively seeking capital or business under par. (a) 1. unless the
employer has a written record, made while the employer was
seeking capital or business, of those activities. The record shall
consist of the documents and other material specified by the department by rule under s. 109.12 (1) (b). The employer shall have
individual documents in the record notarized, as required by the
department’s rules. The employer shall provide the department
with an affidavit verifying the content of the notarized
documents.
(6) An employer is not liable under this section for a failure to
give notice to any person under sub. (2), if the department determines that the cessation of health care benefits is the result of any
of the following:
(a) The sale of part or all of the employer’s business, if the
purchaser agrees in writing, as part of the purchase agreement, to
provide health care benefits for all of the affected employees, retirees and dependents with not more than a 60-day break in
coverage.

(b) Business circumstances that were not foreseeable when
the notice would have been timely given.
(c) A natural or man-made disaster beyond the control of the
employer.
(d) A temporary cessation in providing health care benefits, if
the employer renews providing health care benefits for the affected employees, retirees and dependents on or before the 60th
day beginning after the cessation.
(7) Each employer shall post, in one or more conspicuous
places where notices to employees are customarily posted, a notice in a form approved by the department setting forth the rights
of employees, retirees and dependents under this section. Any
employer who violates this subsection shall forfeit not more than
$100.
(8) Section 111.322 (2m) applies to discharge and other discriminatory acts arising in connection with any proceeding under
this section.

‹ Prev All Wisconsin sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.