4.10 Health Insurance
- Step 1: Answer who currently has a health insurance policy
- Step 2: Provide information on premiums and coverage dates
- Step 3: Provide information on the insurance company
- Step 4: Provide additional information about the household member’s insurance source
- Step 5: Additional health insurance
- Step 6: Confirm information on the summary page
Use these instructions to answer questions about health insurance. This section is only included if the application includes health care or FoodShare.
A variation of this section is included for Katie Beckett Medicaid applications that only asks questions about the policies for the children requesting Katie Beckett Medicaid.
Once completed, the applicant can review the section for accuracy before going to the next section.
Step 1: Answer who currently has a health insurance policy
These pages ask about the household’s current health insurance. The pages appear for FoodShare applications, Medicaid, FPOS, and BadgerCare Plus applications.
The Health insurance policy holders page asks if any household members currently have health insurance.
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| Questions | How to answer |
| Does anyone have a health insurance policy that covers one or more people in your household? |
Select Yes or No. Answer yes even if the person with insurance is not on this application. This question is optional for those only applying for FoodShare. If the applicant selects yes, the next question displays. |
 Who is the owner of the health insurance policy? |
Select the owner of the health insurance policy. If someone outside of the household owns the insurance policy, select Someone else. This question is optional for those only applying for FoodShare. |
The Other policy holders page asks about the individual outside the household who covers people in the household.
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| Questions | How to answer |
| Name | Enter the full legal name of the individual. |
| Sex | Select Male or Female. |
| Date of birth | Select the date from the calendar. |
| Does anyone else have health insurance that covers one or more people in your household? (optional) | Select Yes or No. |
If more than one person in the household has a health insurance policy, the Your household’s health insurance page displays. This page asks the applicant to select which household member’s health insurance information to enter first.
The applicant is brought back to this page until all the individuals who have health insurance are completed.
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| Questions | How to answer |
| Choose who you’d like to tell us about first. |
Select Start next to someone’s name to begin asking questions for that person. The applicant is brought back to this page until all the questions for individuals who have health insurance are completed. |
Step 2: Provide information on premiums and coverage dates
These pages ask about the health insurance policy indicated on the previous page. They repeat for each person with a policy.
_____’s health insurance page asks about the health insurance policy.
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| Questions | How to answer |
| Does _____ pay a premium? (optional) |
Select Yes or No. If the applicant selects yes, the next two questions display. |
| How much is the premium? |
Enter the premium amount. |
| How often do you pay it? |
Select the frequency from the drop-down menu. |
| Does _____’s plan cover services from a doctor? | Select Yes or No. |
| Who in _____’s household is covered by this policy? | Select the member or members covered by this policy. |
The Policy holder relationships page asks about how the policy holder who is outside the home is related to household members.
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| Questions | How to answer |
| Relationship to [Household Member Name] | This question repeats for each combination of people in the household. If the relationship has already been described, the answer prepopulates the next time it is asked. |
The Coverage periods page asks about the coverage start date for the health care policy.
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| Questions | How to answer |
| When did _____’s coverage begin? | Select the date from the calendar. |
| Will _____’s coverage end in the next 3 months? |
Select Yes or No. If the applicant selects yes, the next question displays. |
| When will _____’s coverage end? |
Select the date from the calendar. |
The next page the applicant sees depends on the programs they are applying for.
| If the application includes... | Continue to... |
| Health care | STEP 3: PROVIDE INFORMATION ON THE INSURANCE COMPANY |
| FoodShare only | STEP 5: ADDITIONAL HEALTH INSURANCE |
Step 3: Provide information on the insurance company
_____’s policy information page asks about the insurance company and plan.
| Questions | How to answer |
| What company offers [Policy holder name's] policy? (optional) | Enter the name of the company. |
| Street address | Enter the full address of the company. |
| Health plan name (optional) | Enter the health plan name. |
| Policy number (optional) | Enter the policy number. |
| Group number (optional) | Enter the group number. |
The next page the applicant sees depends on the programs they are applying for.
| If the application... | Continue to... |
| Includes BadgerCare Plus | STEP 4: PROVIDE ADDITIONAL INFORMATION ABOUT THE HOUSEHOLD MEMBER’S INSURANCE SOURCE |
| Does not include BadgerCare Plus | STEP 5: ADDITIONAL HEALTH INSURANCE |
Step 4: Provide additional information about the household member’s insurance source
These pages ask for more information about how the household member has access to insurance, including if they have continued access into the next year.
The More about _____’s health insurance page asks about the source of the health care policy and plan details.
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| Questions | How to answer |
| Is _____’s insurance through their current job? |
Select Yes or No. If the applicant selects yes, the next eight questions display. |
| Where does _____’s insurance come from? |
Select the source from the drop-down menu. |
| Which employer provides this health insurance? |
Select the employer that provides health insurance. The list shows employers previously entered by the applicant. Enter the name of the employer if not shown on the list. |
| Name of employer | Enter the name of the employer. |
| Employer FEIN (optional) |
Enter the FEIN number of the employer. |
| Is _____’s insurance through a state employee benefit plan? (optional) |
Select Yes or No. |
| Employer address (optional) |
Enter the full address of the employer. |
| Employer phone number (optional) |
Enter the phone number of the employer. |
Step 5: Additional health insurance
This page asks the applicant if the policy holder has another health care policy
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| Questions | How to answer |
| Does [Policy holder name] have another health insurance policy? (optional) | Select Yes, No, or I don’t know. |
Step 6: Confirm information on the summary page
Once completed, a summary page displays. Here, the applicant can review the sections for accuracy before going to the next section.
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This page last updated in Release Number: 25-01
Release Date: 10/18/2025
Effective Date: 10/18/2025