2012 Wisconsin Statutes & Annotations
149. Health insurance risk-sharing plans.
149.143 Payment of plan costs.
149.143โ Payment of plan costs.
(1)โ Costs excluding subsidies. The authority shall pay plan costs, excluding any premium, deductible, and copayment subsidies, first from any federal funds under s. 149.11 (2) (a) 3. that exceed premium, deductible, and copayment subsidy costs in a policy year. The remainder of the plan costs, excluding premium, deductible, and copayment subsidy costs, shall be paid as follows:
(a) Sixty percent from premiums paid by eligible persons.
(b) Twenty percent from insurer assessments under s. 149.13.
(c) Twenty percent from adjustments to provider payment rates under s. 149.142.
(2)โSubsidy costs. The authority shall pay for premium, deductible, and copayment subsidies in a policy year first from any federal funds under s. 149.11 (2) (a) 3. received in that year. The remainder of the subsidy costs shall be paid as follows:
(a) Fifty percent from insurer assessments under s. 149.13.
(b) Fifty percent from adjustments to provider payment rates under s. 149.142.
History: 1997 a. 27; 1999 a. 9, 165; 2001 a. 16, 109; 2003 a. 33; 2005 a. 74; 2007 a. 20.