Notice to Employees, Former Employees, and Retirees
For Calendar Year 2025
As an employer sponsoring a group health plan, we provide Form 1095-C for full-time employees.
Form 1095-C is an information document used to help administer certain provisions of the Affordable Care Act (ACA). You do not need the form to file your tax returns. For more information, please visit the Internal Revenue Service’s Q&A External Site.
You will not automatically receive the Form 1095-C; you may request the form by contacting us using any of the following methods of contact if you want a copy:
Telephone: 641-856-0601
Mailing Address: 634 N. Main St. Centerville, IA 52544