Wisconsin Code § 633.12

Notification required
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(1) An administrator shall
prepare sufficient copies of a written notice approved in advance
by the principal for distribution to all insured employees of the
principal and either shall distribute the copies to the insured employees or shall provide the copies to the principal for distribution to the insured employees. The written notice shall contain
all of the following:
(a) The names and addresses of the administrator and the
principal.
(b) An explanation of the respective rights and responsibilities
of the administrator, the principal and the insured employees.
(c) A statement of the extent to which the employee benefit
plan is insured or self-insured, and an explanation of the terms
“insured” and “self-insured”.
(2) If an administrator collects premiums or charges from a
person on behalf of a principal, at least once in every year, prior
to collecting the premiums or charges, the administrator shall
provide written notice to the person stating the amount of the premiums or charges.

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