Form 1095-C Availability Notice

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is available upon request.

You may request a copy of your Form 1095-C by contacting us at:

• Email: HR@tryondist.com
• Phone: 984-340-2009
• Mail:    4701 Stockholm Ct

Charlotte, NC 28273

Requests will be fulfilled within 30 days of receipt.

Form 1095-C contains information about health coverage offered to you. You are not required to have this form to file your federal income tax return, but it is recommended to keep it for your records.

If you have any questions, please contact the HR department using the information provided above.