Except as provided in pars. (c), (cg), (cr), (ct), and (d), an individual whose family income exceeds 150 percent of the poverty line is not eligible for BadgerCare Plus if any of the following applies: 1.
(1)#
The individual has individual or family health insurance coverage that is any of the following: a. Coverage provided by an employer and for which the employer pays at least 80 percent of the premium. b. Coverage under the state employee health plan under s. 40.51 (6).
(1)(a)#
Coverage provided by an employer and for which the employer pays at least 80 percent of the premium.
(1)(b)#
Coverage under the state employee health plan under s. 40.51 (6).
(2)#
The individual, in the 12 months before applying, had access to the health insurance coverage specified in subd. 1.
(3)#
The individual could be covered under the health insurance coverage specified in subd. 1. if the coverage is applied for, and the coverage could become available to the individual in the month in which the individual applies for benefits under this section or in any of the next 3 calendar months.