IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

Notice of availability of Tax Form 1095-C Employer-Provided Health Insurance Offer and Coverage

Employers are no longer required to proactively provide Form 1095-C to employees.

However, if you would like to receive a copy of your 1095-C form, you can contact Empyrean directly with your request by phone, email, or mail.

Phone: 844-249-6992
Email: [email protected]
Mail:
Form 1095 Service Ctr.
PO Box 3310
Bellaire, TX 77402

To prevent any delays in processing your 1095-C form request, please be sure to provide your identifying information:

  • Full Name
  • Employer
  • Your Mailing Address
  • Last Four Digits of Your SSN