Important Health Coverage Tax Documents
Form 1095-C for the 2025 tax year is available upon request. This form provides information about the health insurance coverage offered to you during the year. You are not required to file this statement with your personal taxes.
How to Request Your Form 1095-C:
If you would like to receive a copy of your Form 1095-C, please submit a request using any of the following methods:
- Email: [email protected]
- Mailing Address: 22622 Harper Avenue, St Clair Shores, MI 48080
- Phone: 586-552-8585
We will provide your form within 30 days of receiving your request. This notice will remain available on our website through October 15, 2026.





