Form 1095-C Availability Notice
TCOMM911 is required under federal law to prepare Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, in accordance with the Affordable Care Act (ACA). Form 1095-C provides information about health insurance coverage that was offered to eligible employees during the calendar year.
- Form 1095-C is available upon request
How to Request a Copy of Form 1095-C
If you were not a full-time employee, or if you are a former employee or other individual who needs a copy of Form 1095-C, you may request one at no charge.
Requests must include:
- Full name
- Current mailing address
- Last four digits of Social Security number (for identity verification)
- Calendar year requested
- Contact phone number or email address (in case clarification is needed)
Requests may be submitted by:
Email: HumanResources@TCOMM911.org
Mail:
Thurston 911 Communications
ATTN: Human Resources – 1095-C Request
2703 Pacific Avenue SE, Ste A
Olympia, WA 98501
Forms will be furnished within 30 days of receiving the request.
Important Information
Form 1095-C provides information about health coverage offers and enrollment. It may assist you in preparing your federal income tax return, but is not required to file your taxes.
If you have any questions regarding this notice, please contact Human Resources at 360-704-2733.