Senate Bill 1103 aims to establish a special enrollment period for pregnant individuals in health insurance plans and self-insured governmental health plans in Wisconsin. The bill mandates that these plans allow a pregnant individual, as well as any individuals eligible for coverage due to their relationship with the pregnant individual, to enroll at any time during the pregnancy. Coverage must commence no later than the first day of the month in which the pregnant individual receives medical verification of the pregnancy, although they may choose to start coverage on the first day of any month during the pregnancy. Additionally, insurers are required to notify individuals about this special enrollment period when they are initially offered the opportunity to enroll in the plan.

The bill includes several amendments to existing statutes, specifically adding the new section 632.7498, which outlines the special enrollment period for pregnancy, and modifies sections 40.51, 66.0137, 120.13, and 185.983 to incorporate this new requirement. The amendments also include the insertion of 632.7498 into various sections that govern health care coverage plans, ensuring compliance with the new enrollment provisions. The act is set to take effect on the first day of the fourth month following its publication, with specific applicability provisions for policies affected by collective bargaining agreements.

Statutes affected:
Bill Text: 40.51(8), 40.51, 40.51(8m), 66.0137(4), 66.0137, 120.13(2)(g), 120.13, 185.983(1)(intro.), 185.983