Wisconsin Statutes Insurance (Ch. 600 to 655) § 632.885. Coverage of dependents

(af) “Eligible employer-sponsored plan” has the meaning given in 26 USC 5000A(f)(2).

(ar) “Grandfathered health plan” has the meaning given under section 1251 of the Patient Protection and Affordable Care Act (P.L. 111-148).

(at) “Health insurance coverage” has the meaning given in 42 USC 300gg-91(b)(1).

(b) “Insured” includes an enrollee.

(c) “Self-insured health plan” has the meaning given in s. 632.745(24).

(2) Requirement to offer dependent coverage. (a) Subject to ss. 632.88 and 632.895(5), and except as provided in pars. (b) and (c), every insurer that offers health insurance coverage that provides dependent coverage of children, and every self-insured health plan that provides dependent coverage of children, shall provide coverage for any child of an applicant or insured as a dependent of the applicant or insured if the child is under the age of 26.

(b) Except as provided in par. (c), the coverage requirement under this section applies to an adult child who satisfies all of the following criteria:

(c) For any policy year or plan year beginning before January 1, 2014, health insurance coverage or a self-insured health plan described in par. (a) that is a grandfathered health plan is required to provide dependent coverage for an adult child described in par. (a) or (b) only if the child is not eligible for coverage under an eligible employer-sponsored plan other than the health insurance coverage or self-insured health plan.

(a) Define “dependent” for purposes of eligibility for dependent coverage of children other than in terms of the relationship between a child and an applicant or insured.

(b) Vary the terms of coverage under the health insurance coverage or self-insured health plan on the basis of age except for children 26 years of age or older.