Form 1095-C

Notice Regarding Availability of Form 1095-C

Kinston Community Health Center, Inc. is providing this notice in accordance with applicable IRS guidance regarding Form 1095-C (Employer-Provided Health Insurance Offer and Coverage).

For the 2025 tax year, eligible individuals may request a copy of their Form 1095-C.

A copy of Form 1095-C may be requested by contacting:

Human Resources
Email: kchchr@kinstonchc.org

Requests may be made by email or in writing.

Copies of Form 1095-C will be provided:

  • By U.S. Mail to the address on file, or
  • For in-person pickup at Kinston Community Health Center 

Forms will not be furnished electronically.

Please allow reasonable processing time for fulfillment of your request.