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Pleasant Grove ISD

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1095-C Form Request

1095-C Form Request

Important Notice: Form 1095-C Availability

The Paperwork Burden Reduction Act (PBRA) was signed into law by the United States Congress on Dec. 23, 2024. The PBRA amends the Affordable Care Act (ACA) and states that employers are no longer required to provide full-time employees a Form 1095-C Employer-Provided Health Insurance Offer and Coverage statement.

The forms are for your records only and are not included when submitting your federal tax return. You may request a copy of Form 1095-C from the Finance Department. Requests must be submitted in writing and may be emailed to payroll@pgisd.net.