810-602-6803

Request Form 1095-C

How To Request Your 1095-C Form

In accordance with IRS guidelines, our company is not automatically mailing 1095-C forms to employees this year. However, if you would like to receive a copy of your 2024 form 1095-C, you may request one using the contact information below.

How To Request Your 1095-C Form:

You may request a copy of your 2024 Form 1095-C by contacting us through one of the following methods:

– Email: [email protected]
– Mailing Address: 1256 Fendt Drive| Howell, MI 48843
– Phone: (810) 602-6803

Once requested, your form will be provided within 30 days of your request.

 

Important Information:

  •  This notice will remain available on our website through October 15, 2025.
  •  Your 1095-C form provides information about your health insurance coverage and may be used when filing your taxes.
  •  If you have any questions about this process, please reach out using the contact details above.

 

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