Failure to comply with these employee notification requirements can trigger penalties under the Internal Revenue Code, which govern failures to file or furnish information returns correctly.
For 2026, the failure to Furnish (Provide to Employee): $330 per return for not furnishing a correct Form 1095-C to the employee by the deadline.
- Describes the employee’s right to request a paper copy of Form 1095
- Explains how to request the form
- Stays visible on the site through Oct. 15, 2028
Under amendments to the Paperwork Reduction Act effective December 2024, employers are no longer required to automatically mail IRS Form 1095 to employees unless specifically requested.
What is Form 1095?
Form 1095 provides information about the health insurance coverage offered to you by your employer and may assist you in preparing your federal and/or state tax return.
How to Request a Paper Copy:
If you would like to receive a paper copy of your Form 1095 for the 20[XX] tax year, you must submit a request using one of the following methods:
Requests must include your full name, employee ID (or last four digits of your SSN), and a valid mailing address.
There is no charge for requesting a copy. Requested forms will be mailed within 30 days of receipt.
If you have any questions about this notice or Form 1095-C, please contact [insert contact information].