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In accordance with recent changes under the Paperwork Burden Reduction Act and the Employer Reporting Improvement Act, 

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employers are no longer required to automatically furnish IRS Form 1095-C to employees unless requested.  

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Electronic copies of form 1095 forms are available for download annually, beginning March 1st.  

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I acknowledge that it is my employer’s policy to distribute 1095-C copies electronically via Ultipro. 

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I understand if I would like a paper copy of the 1095-C I can submit the request in writing to 

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my HR Representative or email benefits at benefitsdept dot net and a paper copy will be provided within thirty days.