Notice Regarding Form 1095-C

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, for the prior calendar year is available upon request.

To request a copy of your Form 1095-C, please contact:

785.272.9999

A paper copy will be furnished within 30 days of the request.

Form 1095-C is provided for your records. You do not need this form to file your federal income tax return, but you should retain it with your tax records.