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Form 1095-C online Green Bay Wisconsin: What You Should Know

Note: the first time you log-in to your account with UW GPO, you will receive the following message: You have previously updated your information, and now you will be automatically logged-in to receive email notifications about your form 1095-C and other ADP products. To complete your login, please enter your UW ID number here, and your password will be sent to your email address below. You will not have to enter this information again each time you sign up for ADP. More information about the ADP login will be provided to you as needed during the next enrollment period. Information regarding Employee Health Insurance from the Wisconsin Department of Workforce Development (DID) This website provides information about insurance coverage and benefits and the requirements for filing and filing a Form SSA-1099 with the Wisconsin Department of Workforce Development, DID. Visit our Contact Us section to contact DID. Employer-Provided Health Insurance, Wisconsin Employees and Their Dependents : Forms and Fees and Other Information. In order to receive your state premium subsidy from DID, WSU students, faculty, or staff must request it from their employer and/or receive it as a condition of employment. Employer Coverage (Form WSU-1155): Form WSU — 1155: WSU — State Health Benefits Plan for Workers. Employer Identification (Employer Identification Card): Form WSU — 1. Form WSU — 1155. Employer Identification Card. Form WSU — 01. WSU-1: Personal Information. Employment Identification Number (EIN). Filing of an Employer-Provided Insurance Form: The Employer must file Form WSU- 1155 by October 5 of each year; Form WSU — 01 before October 5 of each year; and an Employer Identification Card or a copy of a WSU-1155 in the case of students. Employee Premium Subsidy. The DID must provide a copy of your WSU-1155 before the end of each quarter or by April 30 of each year for the quarter. Learn more about employer contributions to premium subsidies through Form WSU-1155. Employer-Sponsored Health Coverage, Wisconsin Employees and Their Families: Information and Resources for Employees, Employees' Families, and Their Caregivers: Forms and Fees and Other Information.

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