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The forms are completed utilizing the online Wisconsin Market Regulatory Reports and Forms application. The Medicare Supplement (i.e.Medigap Plans are designed to pay some of the out-of-pocket expenses that people have to pay when using their Medicare benefits. The form collects updated company information for the Annual Reporting. It also helps in determining the level of market activity. Medicare supplement plans. Generally, a health coverage provider must file Form 1094B and Form 1095B (or other form that IRS designates, or a substitute form). Health Plans Providing Prescription Drug Benefits Report. Only carriers that issue health plans with prescription drug benefits need to complete this form. Within SERFF, find the filing type 'LTC Rescission Report' and complete the attached form 'LTC Rescission Form'.