IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

Notice of Availability of Form 1095‑B

Individuals who were enrolled in employer‑sponsored health coverage may request a copy of their Form 1095‑B, Health Coverage. This form provides information about the health coverage you had during the year.

How to Request Your Form 1095‑B

You may request a copy of your Form 1095‑B at any time by contacting us using one of the methods below:

• Email: dsmith@tbhs.net

• Mail: Attn: Human Resources, Tuscola Behavioral Health Systems, 323 North State Street, Caro, MI  48723

Please include your full name, current mailing address, date of birth, and the last four digits of your Social Security number so we can verify your identity and process your request.

If you have questions, please call 989-673-6191 and ask to speak to the Human Resources Supervisor.

How Your Form Will Be Provided

Upon receiving your request, we will mail your Form 1095‑B to the address you provide within 30 calendar days.

Additional Information

This notice will remain available on our website through October 15, 2026 after which it will be removed until the next reporting cycle.