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Printable Form 1099-H Wisconsin: What You Should Know

Department of Revenue. The Form is generally available after the 15th business day of the month after the tax return is filed, in most cases, unless the program has established a waiting period. The Wisconsin Department of Revenue does not provide a copy of the health care tax form to nonresidents. Information about Form 1095-B — Wisconsin Department of Revenue Health Savings Accounts (Has) Information about HSA Accounts and IRS Form 1095-A (Information Requested from Individuals with Has) July 7, 2025 — Wisconsin has implemented a process that allows you to request information under the Wisconsin Individual Taxpayer Identification Number (ITIN) program from all Wisconsin residents. The information submitted must include the name, mailing address, and Social Security number of each Wisconsin taxpayer with an individual health insurance (HI) account. The Wisconsin Department of Revenue is only a repository for this information and does not process information for return preparers/receivers. The ITIN program is provided to allow eligible Wisconsin HI account holders to receive their health care coverage by giving the holder an individual tax identification number (ITIN). The ITIN can be used by health insurers to process payments by including it in the beneficiary data as a “payment” for health insurance coverage. The HI application for the Wisconsin HI account holder contains the details in addition to other information required by the Wisconsin State Health Insurance Fund for processing. The Form 1095-A is used by individuals to request a determination of eligibility for Wisconsin's HI program. The Form 1095-A request must be received no later than 60 days from the due date of the return. Information on the Form 1095-A may be obtained by contacting the ITIN and health insurance provider. Form 1095-A — Information Requested from Individuals for Wisconsin's HI Account IRS Form 1095-A — Information Requested from Individuals for Wisconsin's HI Account Hospital Reimbursement Program Information about the Hospital Reimbursement Program — Federal Revenue Agents — IRS Information about a 1099-H (Form 1095-A) (Notice of Error) Notice of Error Form — Notice of Error Form is a notice of mistake due to a technical or clerical error in Form 1097, 1096 or 1097-EZ.

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