Form F-13026 Badgercare Plus Premium Member / Employer Electronic Funds Transfer - Wisconsin

Form F-13026 Badgercare Plus Premium Member / Employer Electronic Funds Transfer - Wisconsin

What Is Form F-13026?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-13026?
A: Form F-13026 is an electronic funds transfer form for BadgerCare Plus Premium members and employers in Wisconsin.

Q: Who is required to use Form F-13026?
A: BadgerCare Plus Premium members and employers in Wisconsin are required to use Form F-13026 for electronic funds transfer.

Q: What is BadgerCare Plus Premium?
A: BadgerCare Plus Premium is a health insurance program in Wisconsin for people who earn too much to qualify for regular BadgerCare Plus but cannot afford private insurance.

Q: What is electronic funds transfer?
A: Electronic funds transfer is a method of transferring money electronically from one bank account to another.

Q: Why do BadgerCare Plus Premium members and employers need to use electronic funds transfer?
A: BadgerCare Plus Premium members and employers need to use electronic funds transfer to make premium payments for the health insurance program.

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Form Details:

  • Released on May 1, 2014;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F-13026 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-13026 Badgercare Plus Premium Member / Employer Electronic Funds Transfer - Wisconsin

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