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1095 Health Insurance Availability Form

For current and former fox crossing employees only

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

The 2024 Form 1095s are prepared and available upon request. The Form 1095s provides information about offers of coverage made to full-time employees, as coverage information for those who enrolled in Village of Fox Crossing’s group health plan. To request a copy of your Form 1095 or for further information about Form 1095s, you can reach out to Tami Thompson or Jeremy Searl in the Finance Department at 920-720-7106 or request using the form below.

1095 Form Health Insurance Availability Form
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