Important Notice Regarding Your 1095-C Form

As per recent law changes, you are now required to request your Form 1095-C to access details about your health insurance coverage for the previous year.

If you’d like a copy of your 1095-C, send an email request to:

We will then provide your document to you within 30 days of your request or by January 31st of the following year, whichever is later.

You can also contact us at OneStaff Medical, ATTN Human Resources, 10802 Farnam Drive, Omaha NE 68154 or call 877-783-1483. You can also access your 1095-C form in Paycom at www.paycom.com.