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Wis. Stat. § 633.13

License required

Redline — January 1, 2003 → current.View current text →
Current — January 1, 2021
As of January 1, 2003
(1) General. Except as provided in sub. (2) , a person may not perform, offer to perform or advertise any service as an administrator unless the person has obtained a license under s. 633.14 .
(1) General. Except as provided in sub. (2) , a person may not perform, offer to perform or advertise any service as an administrator or a pharmacy benefit manager unless the person has obtained a license under s. 633.14 . A pharmacy benefit manager that also performs services as an administrator need only obtain an administrator license under s. 633.14 .
(2) Exemptions. The commissioner may exempt by rule certain classes of administrators from the requirement of sub. (1) if the commissioner determines any of the following:
(a) That the functions that the administrators perform do not require special competence or trustworthiness or otherwise do not require the regulatory surveillance of a licensing requirement.
(b) That other safeguards make a licensing requirement unnecessary.
(2) Exemptions. The commissioner may exempt by rule certain classes of administrators from the requirement of sub. (1) if the commissioner determines any of the following:
(a) That the functions that the administrators perform do not require special competence or trustworthiness or otherwise do not require the regulatory surveillance of a licensing requirement.
(b) That other safeguards make a licensing requirement unnecessary.
(3) Responsibilities of principal. A principal may not use the services of an administrator unless the administrator furnishes proof of licensure under s. 633.14 or exemption under sub. (2) .
(3) Responsibilities of principal. A principal may not use the services of an administrator unless the administrator furnishes proof of licensure under s. 633.14 or exemption under sub. (2) . An insurer or a self-insured health plan may not use the services of a pharmacy benefit manager unless the pharmacy benefit manager furnishes proof of licensure under s. 633.14 .

Official source: Wisconsin State Legislature. Reproduced from public-domain Wisconsin statutes; confirm against the official source for the current text. Not legal advice.