1095-C Affordable Care Act Forms

1095-C Affordable Care Act Forms are available upon request

The Paperwork Burden Reduction Act modifies provisions under the Patient Protection and Affordable Care Act (ACA) so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested.

The 2024 Form 1095-Cs are prepared and available upon request. Form 1095-Cs provide information about offers of coverage made to employers that are considered 'full-time' under the ACA.

To request a copy of your 2024 Form 1095-C, you may contact the following:

Betsy Moore, HR & Business Office Assistant
bmoore@hamiltonschools.us

Sara Miedema, Payroll/Accounting Coordinator
smiedema@hamiltonschools.us

4815 136th Avenue, Hamilton MI 49419
Phone: (269) 751-5148