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Member Contacts

Mike Roche

Mike Roche
Member Services Manager
800.223.4139 x6645
Email Mike

Paul Roelke

Paul Roelke
Member Services Advisor
800.223.4139 x6647
Email Paul

Contact Mike or Paul today to set up a member services visit with your company.

November Provider Update

Please share the November Provider Update with your employees to make them aware of network changes. Updates include provider additions, terminations and location changes.

Upcoming Alliance Events

Dec 1: Employer Roundtable Event (Benefit Plan Design)
The Monona Terrace – Madison, Wis
Register today!

Jan. 21: Wellness Success in the Workplace (optional lunch and wellness roundtable for employers)
Monona Terrace - Madison, Wis.
Save the Date!

Other Educational Events

Fifth Annual IHC FORUM West
Nov. 16-18  |  Las Vegas, NV

NBCH Annual Conference
Nov. 16-18  |  Dallas, TX

Learn more

Find a Doctor Employer Toolkit
QualityPath Toolkit

Health Care Reform Updates

Wisconsin's Adult Dependent Coverage Mandate Now 26

As previously discussed, the federal Patient Protection and Affordable Care Act (PPACA) created a number of inconsistencies with state law related to dependent care coverage.

After hearing concerns from employers about adhering to both state and federal laws, The Alliance worked with Representative Pat Strachota to draft a bill (LRB 0867) to federalize Wisconsin's adult dependent requirements so that employers would need to only follow one standard.

While the bill was not signed into law in complete form, parts of the bill were addressed in the state budget bill signed into law in June in an amendment written by Representative Strachota. This lowered Wisconsin's adult dependent coverage mandate to age 26, which was previously age 27. This will make coverage requirements consistent with federal law. The change is effective for plan years beginning on or after January 1, 2012.

However, the budget committee did not approve a corresponding tax code change that would have made the tax treatment of adult dependent coverage consistent with federal law. As of this time, employers still need to impute income and withhold state income tax for adult dependents who do not meet the definition of a qualifying child or qualifying relative under Wisconsin law. The Wisconsin Department of Revenue estimated the tax code change would cost $24 million in lost revenue, which made passage difficult during this budget cycle.

The Alliance is continuing to work with legislative leaders and the Department of Revenue on a solution to the tax code portion of this issue. More information on the "imputed income" requirements regarding adult dependents is available on the Wisconsin Department of Revenue website.

Rules Issued for Women's Preventive Care under PPACA, Original IFR Amended

On August 1, the Department of Health and Human Services (HHS) issued detailed guidelines for group health plans and health insurance issuers relating to coverage of preventive services under the Patient Protection and Affordable Care Act (PPACA). A fact sheet is also available at the portal.

The guidelines specifically address preventive health services that must be offered to women at no additional cost, such as:

  • Well-woman visits
  • Screening for gestational diabetes;
  • Human papillomavirus (HPV) DNA testing for women 30 years and older;
  • Sexually-transmitted infection counseling;
  • Human immunodeficiency virus (HIV) screening and counseling;
  • FDA-approved contraception methods and contraceptive counseling;
  • Breastfeeding support, supplies, and counseling; and
  • Domestic violence screening and counseling.

These guidelines supplement the interim final rules on general preventive care requirements issued in July 2010 and have the effect of expanding on the list of preventive health care services that must be covered on a first dollar basis. Specifically, all non-grandfathered health plans (both insured and self-insured plans) will need to include these services without cost sharing for plan years beginning on or after August 1, 2012.

You can read more about this in John Barlament's presentation and the executive summary from this month's Alliance Learning Circle, Covering the Bases of PPACA: Employee Benefits Compliance Update.


The Alliance® is a cooperative of employers moving health care forward by controlling costs, improving quality, and engaging individuals in their health.

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