Outdated or Unsupported Browser Detected
DWD's website uses the latest technology. This makes our site faster and easier to use across all devices. Unfortunatley, your browser is out of date and is not supported. An update is not required, but it is strongly recommended to improve your browsing experience. To update Internet Explorer to Microsoft Edge visit their website.
Document Number: ERD-12193
Description: This form should be used to file a Cessation of Health Care Benefits Complaint.
Comments: This law applies to businesses with 50 or more employees in the State of Wisconsin. Businesses who employ fewer than 50 employees do not have to give notice when deciding to cease providing health care benefits to their employees. If the law applies, employers must give 60-days advance notice to employees, retirees, and their dependents before terminating a health care benefit plan. The law does not require that employers notify employees who are terminated or who quit that their health care benefits will cease. Notice is only required when a health care benefit plan is being terminated for an entire class of employees. The law does not require that employers give notice before making changes to an existing plan. For more detailed information, please refer to publication ERD-11054-P, "Notification Required for Cessation of Health Care Benefits."
Content Contact: Equal Rights Information
Document Attachment: ERD-12193 (pdf/20 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
Sign up for DWD news and updates
A proud partner of the 
network