In compliance with the Affordable Care Act (ACA), Form 1095-C for the 2024 tax year is available to all full-time employees upon request.
You are not required to file Form 1095-C with your tax return. However, if you would like a copy for your records, you may request one using the contact information below.
How to Request Your Form 1095-C:
Details on Your Request:
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Your form will be provided within 30 days of receiving your request.
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If you prefer to receive an electronic copy, please specify this in your request.
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For questions, please contact us using the information provided above.
This notice will remain on our website through October 15, 2025.
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