Wisconsin Code § 40.61

Income continuation coverage
Open in Lexace · Ask the AI about this section
(1) The procedures and provisions pertaining to enrollment, premium transmitted and coverage of eligible employees for income continuation
benefits shall be established by contract or rule except as otherwise specifically provided by this chapter.
(2) Except as provided in sub. (4), any eligible employee may
become covered by income continuation insurance by electing
coverage within 30 days of initial eligibility, to be effective as of
the first day of the month that first occurs during the 30-day period, or by electing coverage within 60 days of initially becoming
eligible for a higher level of employer contribution towards the
premium cost to be effective as of the first day of the month following the date of eligibility for teachers employed by the university and effective as of the following April 1 for all other employees. Any employee who does not so elect at one of these times, or
who subsequently cancels the insurance, may not thereafter become insured unless the employee furnishes evidence of insurability under the terms of the contract, or as otherwise provided by
rule for employees under sub. (3), at the employee’s own expense
or obtains coverage subject to contractual waiting periods if contractual waiting periods are provided for by the contract or by rule
for employees under sub. (3). An employee who furnishes satisfactory evidence of insurability under the terms of the contract
shall become insured as of the first day of the month following
the date of approval of evidence. The method to be used shall be
determined by the group insurance board under sub. (1).
(3) Any employer under s. 40.02 (28), other than the state,
may offer to all of its employees an income continuation insurance plan through a program offered by the group insurance
board. Notwithstanding sub. (2) and ss. 40.05 (5) and 40.62, the
department may by rule establish different eligibility standards or
contribution requirements for such employees and employers and
may by rule limit the categories of employers which may be included as participating employers under this subchapter.
(4) An eligible state employee who elects insurance coverage
with a county under s. 978.12 (6) may not elect coverage under
this section.
(5) If, as a result of employer error, an eligible employee has
not filed an application with the department as required under
sub. (2) or (3) or made premium contributions as required under
s. 40.05 (5) within 60 days after becoming eligible for income
continuation insurance coverage, the employee is considered not
to be insured for that coverage. The employee may become insured by filing a new application under sub. (2) or (3) within 30
days after the employee receives from the employer written notice
of the error. An employee is not required to furnish evidence of
insurability to become insured under this subsection. An employee becomes insured under this subsection on the first day of
the first month beginning after the date on which the employer receives the employee’s new application under sub. (2) or (3) and
upon approval by the department.

‹ 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.