W2 & 1095c INFORMATION
2017 W2 and 1095-C Statements were mailed on Monday, January 29, 2018.
Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, for 2017: Due to the Affordable Care Act (ACA) regulations, our company is now required to also provide employees, if applicable, with a 2017 Form 1095-C, Employer-Provided Health Insurance Offer and Coverage. Form 1095-C would be applicable to you if:
You were eligible and were offered the Minimum Value Plans anytime in 2017 or
You qualified and elected the Preventive Care Plan.
If a Form 1095-C is issued to you for 2017, it will be enclosed with your W2 statement and mailed together in the same envelope.
You will need Form 1095-C along with your W2 statement in order to complete your 2017 tax return filing, therefore please do not discard the new form.
What is a Form 1095-C?
Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is used to report information about offers of health coverage and enrollment in health coverage. For more information, please refer to the FAQ appendix and page 2 of the Form 1095-C, below is link to the IRS form.
Request for Federal Employer Identification Number (FEIN): If you are looking to obtain our company's Federal Employer Identification Number (FEIN), please be aware that the IRS prohibits the filing of electronic returns without a W2. Therefore our company will not be able to provide FEIN information prior to the distribution of W2s and 1095-Cs (if applicable). We ask that you wait until you receive your W2 in the mail, which will be mailed on January 29, 2018.
Wrong Addresses: If you have not received your W2 or 1095-C statement due to an incorrect or changed mailing address, please contact our corporate office. Corporate will provide you with a W2/1095-C Request Form and they will then update your information in their database.
Undeliverable W2s and 1095-Cs will be returned to corporate where your check was last distributed. Please follow up with corporate to determine if your W2 statement has been returned to them before completing a W2/1095-C Request Form.
Request for Duplicate W2 or 1095-C Statements can be made by completing a W2/1095-C Request Form (available at upon request or our website as a Word Document.) Please allow 10-15 business days for your written request to be processed. Requests should be forwarded directly to our Corporate Headquarters, Attn: W2 Request Department - 1 Park Plaza Suite 600 Irvine, CA 92614. Due to the volume of requests being received at this time, as well as to protect the confidentiality of this information, for your own protection, we regret to announce that we cannot accept requests for duplicate W2 and 1095-C Statements via fax, phone or e-mail. We apologize for any inconvenience this may cause. Please know that incomplete information can and will cause your requests to be delayed. Should you need it, a free version of Adobe's Acrobat reader software is available.
Incorrect Social Security Numbers will require a corrected W2 (W2-C) and 1095-C to be issued. If you have received a W2 and 1095-C with an incorrect social security number, we ask that you provide a copy of your W2s and 1095-C along with a copy of your social security card directly to corporate to assist you.