633.15 License; renewal, suspension, limitation, revocation, penalty.

570 words·~3 min read·/wi/chapter-633/633-15-2

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(1)Annual renewal fee.

(a)Payment. An administrator or pharmacy benefit manager shall pay the annual renewal fee under s. 601.31

(w)for each annual renewal of a license by the date specified by a schedule established under par.

(b).

(b)Schedule by rule. The commissioner shall promulgate rules establishing a schedule for payment of the annual renewal fee.

(1m)Social security number, federal employer identification number or statement. At an annual renewal, an administrator or pharmacy benefit manager shall provide his or her social security number, if the administrator is an individual unless he or she does not have a social security number, or its federal employer identification number, if the administrator or pharmacy benefit manager is a corporation, limited liability company or partnership, if the social security number or federal employer identification number was not previously provided on the application for the license or at a previous renewal of the license. If an administrator who is an individual does not have a social security number, the individual shall provide to the commissioner, at each annual renewal and on a form prescribed by the department of children and families, a statement made or subscribed under oath or affirmation that the administrator does not have a social security number.

(2)Revocation, suspension, limitation.

(a)Nonpayment of annual renewal fee or failure to provide social security number or federal employer identification number.

1. If an administrator or pharmacy benefit manager fails to pay the annual renewal fee as provided under sub.

(1)or fails to provide a social security number, federal employer identification number or statement made or subscribed under oath or affirmation as required under sub.

(1m), the commissioner shall suspend the administrator’s or pharmacy benefit manager’s license effective the day following the last day when the annual renewal fee may be paid, if the commissioner has given the administrator or pharmacy benefit manager reasonable notice of when the fee must be paid to avoid suspension.

2. If, within 60 days from the effective date of suspension under subd. 1. , an administrator or pharmacy benefit manager pays the annual renewal fee or provides the social security number, federal employer identification number or statement made or subscribed under oath or affirmation, or both if the suspension was based upon a failure to do both, the commissioner shall reinstate the administrator’s or pharmacy benefit manager’s license effective as of the date of suspension.

3. If payment is not made or the social security number, federal employer identification number or statement made or subscribed under oath or affirmation is not provided within 60 days from the effective date of suspension under subd. 1. , the commissioner shall revoke the administrator’s or pharmacy benefit manager’s license.

4. A person whose license has been revoked under subd. 3. may apply for a new license under s. 633.14 at any time.

(b)Other reasons.

1. Except as provided in pars.

(c)to

(e), the commissioner may revoke, suspend or limit the license of an administrator or pharmacy benefit manager after a hearing if the commissioner makes any of the following findings:

a. That the administrator or pharmacy benefit manager is unqualified to perform the responsibilities of an administrator or pharmacy benefit manager.

b. That the administrator or pharmacy benefit manager has repeatedly or knowingly violated an applicable law, rule or order of the commissioner.