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Employee Resources

MRF Information - Healthcare Bluebook Home Page

ACA Statements:

What is Form 1095-C?

Form 1095-C provides details about the health coverage offered to you by your employer. Form 1095-C is not attached to your tax return but rather should be kept with your tax records.

Summary

Instead of automatically mailing Form 1095-C to employees, we will now provide it electronically to active employees only upon request. A paper copy can be sent upon request as well.

Request Process

Form 1095-C is not required to file your taxes, but you may wish to keep it for your records. If you would like a copy, you can request one.

To request a copy of Form 1095-C, please send your request by email to .

Include your name, employee ID number, a phone number or email address where you can be reached. If you need a paper copy, please confirm your mailing address and state that you want a 1095-C form mailed to you.

Your request will be fulfilled within 30 days of the request.