As an employee that was eligible for minimum essential health coverage provided by the Applied Consultants, Inc. Health and Welfare Plan, you are entitled to a Form 1095-C for the 2024 tax year, which serves as proof of the coverage we offered you. This statement was previously mailed to individuals; however, due to new regulations designed to reduce paperwork and administrative burden, we are no longer required to send paper copies via mail.

You are not required to file this statement with your personal taxes. However, if you would like to request a free copy of your Form 1095-C for your records, you may do so by emailing This email address is being protected from spambots. You need JavaScript enabled to view it., calling 903-643-0956 or sending a request to Benefits at 2100 N Eastman Rd, Longview, TX, 75601. A paper copy will be mailed to the address on file within 30 days of receiving the request. If you prefer to receive an electronic copy of your Form 1095-C, please include your preferred email with the request.