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Printable Form 1095-C Wisconsin: What You Should Know

Form 1095-C, Information Returns, also known as IRS Forms 1095-B or 1095-C, is a self-certification form for reporting theĀ  providing health coverage for employees of the University of Wisconsin-Madison, in addition to that coverage offered by theirĀ  employer. Form 1095-C, Student Health Insurance Program (SHIP) Form 1095-C, Student Health Insurance Program (SHIP) was established for full-time students enrolled in certain UW-Madison programs, that wereĀ  eligible to participate in the State's Student Health Insurance Program (SHIP) that is funded by Wisconsin University. Each of the six UW Health CentersĀ  provide students with subsidized health coverage through the Student Health Insurance Program (SHIP). This is a continuation of the form for providing coverage for UW Employee's family members. Information regarding Student Health Insurance coverage, including eligibility, is available at the following address to UW student enrolled: UW Student Centers. Student Health Insurance (SHIP) program If you do not have SHIP coverage, you need to check with your state's Medicaid or Children's Health Insurance Program (CHIP). If you are not eligible for SHIP by your state, you cannot be covered under the UW SHIP program. University of Wisconsin-Madison health insurance coverage If you are a current or former employee of the University or UW-Madison, you have access to all the benefits and information in this article: Benefits. University of Wisconsin-Madison health insurance enrollment forms To enroll a student for SHIP, each student must have an enrolled primary individual or family member who has a form of SHIP or comparable state initiated insurance. 1.Ā Student Health Insurance Application (SHIP). Please apply at the UW Student Center, Room B5 (B-9).

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