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.
Q: What is Form F-10191?
A: Form F-10191 is the Medicaid Annuity Beneficiary Designation form in Wisconsin.
Q: What is a Medicaid annuity?
A: A Medicaid annuity is an annuity purchased by an individual to help qualify for Medicaid benefits while preserving some assets.
Q: Who should use Form F-10191?
A: This form should be used by individuals in Wisconsin who are purchasing a Medicaid annuity.
Q: What is the purpose of Form F-10191?
A: The purpose of this form is to designate the beneficiary of a Medicaid annuity.
Form Details:
Download a fillable version of Form F-10191 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.