Employee Resources

Form 1095-C Request Notice

As permitted by federal law, Auxiant/VMH is no longer automatically mailing federal Forms 1095-C.

If you wish to receive a copy of your Form 1095-C, you may request one by contacting Human Resources:

By Mail:
Human Resources
507 South Main Street
Viroqua, WI 54665

By Telephone:
(608) 637-2101

By Facsimile:
(608) 638-5043

By Email:
Hresources@vmh.org
(Due to privacy concerns, the Benefits Office will respond via encrypted email only.)

Electronically:
UKG Home Page

 


 

Request Requirements:
Your request must include:

  • First and last name
  • Address
  • Contact number
  • Email address (if requesting an electronic copy)

You should expect to receive your Form 1095-C within thirty (30) days of your request.


 

Questions About Form 1095-C: