Insurance

League members may also request an opinion directly from the League via email. Please include the subject heading and number when making such a request.

33. A city that offers health insurance coverage to its employees under a self-insured health plan must, as a result of changes in insurance law made by 1995 Wisconsin Act 289, offer health insurance coverage to part-time employees who work between 30-40 hours a week. Secs. 632.745(1)(a) & (5)(a)2, Stats. Discusses methods by which the Office of Insurance Commissioner can enforce compliance with this provision. 11/12/98.

34. Legal comment summarizes key provisions of the Affordable Care Act (ACA), including the Play or Pay penalty provisions which were postponed until 2015, and explains the methods for calculating whether the municipality employs enough people to be covered and, if so, which employees must be offered coverage under the law. Comment also summarizes ACA obligations that affect all employers regardless of size. (Attorney JoAnn Hart). 7/31/13.

35. Second part of two-part legal comment by Attorney JoAnn Hart on the Affordable Care Act (ACA) focuses on methods by which municipal employers covered by the Employer Shared Responsibility provisions, also known as the Play or Pay penalties, can determine which employees must be offered coverage in order to avoid penalties. Comment summarizes an option called the “look-back” method which allows large employers to use an averaging method and treat employees as covered or not covered based on the results of the averaging for a set period of time.  Comment also briefly reviews ACA provisions that affect all employers regardless of size. 12/1/13.

36. Article by Neil Bomberg, NLC, summarizes U.S. Department of Treasury’s final employer mandate rules issued on 2/12/14 governing large employers under the Affordable Care Act (ACA). The rules extended the time for complying with the shared responsibility provisions until January 1, 2016 and, more importantly, clarified provisions that go into effect January 1, 2015 pertaining to, among other things, seasonal employees and volunteer first responders. 03/01/14. 

37. Allows school districts to combine with municipalities to reach the minimum 100 employee threshold  to provide health insurance on a self-insured basis. 7/31/15. The complete text of this legal Note is on page 312 of the September 2015 edition of the Municipality.