Pursuant to federal law, you may receive a copy of your IRS Form 1095-B (Health Coverage) and/or 1095-C (Employer-Provided Health Insurance Offer and Coverage) upon request.
To request a copy of your Form 1095, please contact:
Upon request, the form will be provided within 30 days of your request or by January 31 of the year following the applicable calendar year, whichever is later. This notice applies to coverage provided for the applicable tax year. Please retain this information for your records.