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ACCESS: YOUR CONNECTION TO HEALTH, NUTRITION AND OTHER PROGRAMS
Employer Verification of Health Insurance
The Wisconsin
Department of Health Services verifies if BadgerCare Plus applicants or family
members have access to employer-sponsored insurance through an Employer
Verification of Health Insurance (EVHI) database.
Currently, we have over 10,000 employers with complete health insurance
information in the database. The
data is collected through an Employer Verification of Health Insurance form
(F-10181), which can be found at dhs.wisconsin.gov/forms/F1/F10181.pdf.
In order to help answer some
questions you may have, we have listed our frequently asked questions and
answers we receive regarding the EVHI process.
Q:
Why did I get an
Employer Verification of Health Insurance (EVHI) form?
A: At
least one of your employees or a family member of your employee applied for the
BadgerCare Plus program and the Department doesn’t have your current health
insurance information. The
Department is asking you to fill out the form regarding any health insurance
your company provides. The
information provided will be used by the Department in determining whether the
family or individual is eligible for BadgerCare Plus.
Q:
What is
BadgerCare Plus?
A: BadgerCare Plus is a state/federal program that pays for
essential health care services for low-income families with children.
To find out more about BadgerCare Plus, please visit the program’s
website badgercareplus.org.
Q:
Do I have to fill
out the EVHI form?
A:
State Statute 49.471(9) requires employers to verify health insurance benefits
the employers offer to their employees and employees’ families.
Failure to respond to the request may result in a financial penalty.
Q:
Do I have to fill
out the EVHI form even if my company does not offer any health insurance?
A: State Statute 49.471(9) requires employers to verify health
insurance benefits the employers offer to their employees and employees’
families. Therefore, if your company
does not provide any health insurance to your employees or their families,
please indicate this on the form by completing section 5A.
Q:
What do you do
with information I provide?
A: Department is required to verify whether people applying
for the BadgerCare Plus program already have access to or coverage
through an employer-sponsored insurance plan.
The data you provide is stored in a secure database and is only used to
check insurance information of employees or their families when they apply for
BadgerCare Plus.
Q:
I cannot complete
the form unless you tell me the name of my employee who applied for BadgerCare
Plus.
A: Employers are asked to provide general information about
health insurance offered to their employees and/or the employees’ families.
There may be several employees or their spouses and/or dependants
applying for BadgerCare Plus for whom we have to check insurance access and
coverage. If the information is
completed fully and in a timely manner, your company should only need to
complete the EVHI form once per year. If you are unable to provide general
insurance information, you may get an individual follow up form for each
employee applying for BadgerCare Plus.
If you cannot provide health insurance information because
your employees are covered through a union insurance or the premiums are
different for each employee based on their age, gender and health status, please
call EVHI Customer Services at 1-866-710-2026.
Q:
Where should I
mail the EVHI form?
A: Please mail the form to the following address:
Department of Health Services
EVHI Unit
P.O. Box 6530
Suite 100
Madison ,
WI
53716
Or fax the form to 1-608-222-4523
Q:
I have a question
that is not answered here.
A: Please call EVHI Customer Services at 1-866-710-2026.
Customer service representatives are available Monday through Friday from
8:00 am to 4:00 pm.
Last Revised:
April 28, 2009
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