Notice of Availability of Health Coverage Tax Statement
(Form 1095-B / Form 1095-C)
Pursuant to the Paperwork Burden Reduction Act (H.R. 3797), this notice is to inform you that Form 1095-B and/or Form 1095-C, which provide information about health coverage, will not be automatically furnished to covered individuals.
You may request a copy of your Form 1095-B or Form 1095-C for the applicable coverage year. Your request must be in writing.
How to Request Your Form
To request a copy of your Form 1095-B or Form 1095-C, please submit your request, in writing, to Amber Wick, using one of the following methods:
