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CA For eligible employees of: State of Wisconsin Proposal Date: March 27, 2013, Proposal Date: December 14, 2012, Proposal expires in 90 days Group Accident Advantage Plus Proposal AGC01430SWI Page
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The form is for reporting health coverage provided to eligible employees.
Employers are required to file the form for eligible employees.
The form can be filled out online or submitted electronically.
The purpose of the form is to report health coverage information to the IRS.
Information such as employee names, social security numbers, and coverage details must be reported.
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