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Code · Wisconsin · Chapter 633 — Employee benefit plan administrators, principals, and pharmacy benefit managers

633.13 License required.

186 words·~1 min read·/wi/chapter-633/633-13

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633.13 License required.
(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.
(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 .
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