In accordance with the Paperwork Burden Reduction Act (PBRA), KT-Grant will provide Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, upon request.
Form 1095-C includes information about health coverage offered to you during the applicable tax year and may be needed for your personal tax records.
To request a copy of your Form 1095-C, please contact Human Resources:
Requests may be made at any time.
Once requested, Form 1095-C will be provided within 30 days of the request.
If you have any questions regarding this notice or Form 1095-C, please contact Human Resources.