Form 1095-C Notice

Important Information for Current and Former Employees

Recent changes to federal law under the Employer Reporting Improvement Act have updated how employers are required to distribute Form 1095-C (Employer-Provided Health Insurance Offer and Coverage).

What This Means for You

• Our organization will continue to prepare and file Forms 1094-C and 1095-C with the Internal Revenue Service as required.
• Employers are no longer required to automatically distribute Form 1095-C unless a copy is requested.
• Current and former employees may request a copy of their Form 1095-C at any time, and one will be provided promptly.

How to Request Your Form

If you would like a copy of your Form 1095-C, you may request one at any time by contacting either:

Cindy Kumpe
cindy.kumpe@metroems.org

or Chad Brewer
chad.brewer@metroems.org

Requested forms will be provided within 30 days of the request.

Additional Information

Form 1095-C is not required to file your individual income tax return, but it may be helpful for your personal records.