Sen. Dan Kotowski
Filed: 4/2/2008
 
 

 




 

 		












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AMENDMENT TO SENATE BILL 2486




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    AMENDMENT NO. ______. Amend Senate Bill 2486 on page 2, by 
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replacing lines 7 and 8 with the following:
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"a reasonably designed program for wellness coverage that 
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allows for a reduction in premiums or reduced"; and


  
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on page 2, line 14, by replacing "program," with "program. 
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Individuals unable to participate in wellness program 
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standards, due to an adverse health factor, shall not be 
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penalized based upon their adverse health status."; and
 
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on page 2, by deleting lines 15 through 18; and
 
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on page 3, by replacing lines 3 through 5 with the following:
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    "(d) For purposes of this Section, "reasonably designed 
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program" means a program of wellness coverage that (1)  has a 
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reasonable chance of improving health or preventing disease, 
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(2) is not overly burdensome, (3) does not discriminate based 
 


 






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upon factors of health, and (4) is not otherwise contrary to 
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law.
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    (e) A plan offering wellness coverage must give 
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participants the opportunity to qualify for offered incentives 
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at least once a year. 
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    (f) A plan offering wellness coverage must allow a 
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reasonable alternative to any individual for whom it is 
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unreasonably difficult, due to a medical condition, to satisfy 
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otherwise applicable wellness program standards. Plans may 
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seek physician verification that health factors make it 
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unreasonably difficult or medically inadvisable for the 
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participant to satisfy the standards.
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    (g) The total incentive under a wellness program shall not 
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exceed 20% of the cost of employee-only coverage. The cost of 
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employee-only coverage includes both employer and employee 
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contributions. For plans offering family coverage, the 20% 
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limitation applies to cost of family coverage and applies to 
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the entire family.".