ACA 1095-C forms will be available through the payroll department upon request. hamptonm@uplandhillshealth.org or stanekb@uplandhillshealth.org
This form is NOT required to file your individual tax return.
Affordable Care Act 1095-C is an Employer-Provided Health Insurance Offer and Coverage form used by employers to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.