Important Notice Regarding Your Right to Request Form 1095-C - Health Insurance Coverage Information

Sep 19, 2026

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Important Notice Regarding your right to request Form 1095-C that provides health insurance coverage information for the prior calendar year for Havana CUSD #126. The notice explains changes under the Paperwork Burden Reduction Act signed on December 23, 2024, including that employers are not required to send 1095-C unless requested, while they must inform covered individuals of the right to request. If requested, employers must provide the form within 30 days of the request date. Requests can be made via email, phone, or in person and will be completed and mailed to the employee’s address on file within 30 days.

LanguageEnglish

CategoryLetters

FormatPDF

Pages1

AccessFree to download

Your Right to Request Form 1095-C

Effective change and reporting updates

How to submit a request

Timing and delivery of the requested form

FAQs

What is Form 1095-C used for in this notice?

Form 1095-C details health insurance coverage provided by Havana CUSD #126 during the previous calendar year.

What changed on December 23, 2024 under the Paperwork Burden Reduction Act?

Employers are no longer required to send 1095-C to covered individuals unless the form is requested, and they must notify covered individuals of their right to request it.

How quickly must the employer provide the 1095-C form after an employee requests it?

Employers must provide the requested 1095-C within 30 days of the request date, and the form will be mailed to the employee’s address on file within 30 days.

Sep 19, 2026

Upload by Himbo