In accordance with federal regulations, Form 1095-C (Employer-Provided Health Insurance Offer and Coverage) for calendar year 2025 is available upon request.

This form provides information about health coverage offered to you during the year. You are not required to have Form 1095-C to file your federal income tax return, but you may use it for your records.

How to Request Your Form

You may request a paper copy of your Form 1095-C by contacting us using one of the methods below:

Delivery Timeframe

If you request a copy, it will be provided within 30 days of your request or by January 31, 2026, whichever is later, as required by IRS regulations.