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ACA Form 1095-C Availability Notice

In accordance with applicable IRS regulations, Form 1095-C (Employer-Provided Health Insurance Offer and Coverage) is available upon request for all eligible employees.


To request a copy of your Form 1095-C, please contact us using one of the methods below:

 

Requests will be fulfilled within 30 days of receipt.

This notice is provided in compliance with IRS guidelines for furnishing Form 1095-C.

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