Employee Tax Form Notice

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

Form 1095-C for the 2025 tax year is available to eligible employees upon request.

This form provides information about the health coverage offered to you by Loftco during 2025. You may need this form when filing your federal tax return.

To Request a Copy of Your Form 1095-C

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Mail: 1832 E Deer Valley Rd, Phoenix, AZ 85024

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Forms will be provided within 30 days of your request.

This notice will remain available through October 15, 2026.