IMPORTANT HEALTH COVERAGE TAX DOCUMENTS – FORM 1095-C

Under federal law, you may request a copy of your IRS Form 1095-C, which reports information about your health coverage for the prior year.

To request your Form 1095-C, please contact us using one of the following methods:

Email: benefits@lakelandgov.net

Mailing Address: City of Lakeland Benefits Team, 520 N. Lake Parker Ave., Lakeland, FL 33801

Phone: (863) 834-6797

You may request your form at any time. Once requested, we will provide your Form 1095-C within 30 days of your request or by January 31 of the following year, whichever is later.

This notice is posted in accordance with IRS guidelines and will remain accessible through October 15 of the year following the coverage year.