IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
The 2024 Forms 1095-B and 1095-C, which provide information about health coverage offered and enrollment, are available upon request. To obtain a copy of your form or for further information, please contact us through any of the following methods:
Upon receiving your request, we will furnish the requested form within 30 days.
Payroll Deduction and Authorization Form
Request For Time Off / Request for Paid Time Off
Payroll Adjustment Form – Clients Only
Limited Benefit & Self-Funded Minimum Essential Coverage- Enrollment form