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Code · Wisconsin · Chapter 631 — Insurance contracts generally

631.89 Restrictions on use of genetic test results.

434 words·~2 min read·/wi/chapter-631/631-89-8

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631.89 Restrictions on use of genetic test results.
(1)In this section, “genetic test” means a test using deoxyribonucleic acid extracted from an individual’s cells in order to determine the presence of a genetic disease or disorder or the individual’s predisposition for a particular genetic disease or disorder.
(2)An insurer, the state with respect to a self-insured health plan, or a county, city, village or school board that provides health care services for individuals on a self-insured basis, may not do any of the following:
(a)Require or request directly or indirectly any individual or a member of the individual’s family to obtain a genetic test.
(b)Require or request directly or indirectly any individual to reveal whether the individual or a member of the individual’s family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual’s family, were.
(bm)Require or request directly or indirectly a health care provider, as defined in s. 146.81
(a)to
(p), who is or may be providing or who has or may have provided health care services to an individual to reveal whether the individual or a member of the individual’s family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual’s family, were.
(c)Condition the provision of insurance coverage or health care benefits on whether an individual or a member of the individual’s family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual’s family, were.
(d)Consider in the determination of rates or any other aspect of insurance coverage or health care benefits provided to an individual whether an individual or a member of the individual’s family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual’s family, were.
(a)Subsection
(2)does not apply to an insurer writing life insurance coverage or income continuation insurance coverage.
(b)An insurer writing life insurance coverage or income continuation insurance coverage that obtains information under sub.
(a)or
(b)may not do any of the following:
1. Use the information contrary to sub.
(c)or
(d)in writing a type of insurance coverage other than life or income continuation for the individual or a member of the individual’s family.
2. Provide for rates or any other aspect of coverage that is not reasonably related to the risk involved.
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