Important notice regarding Form 1095-C for the 2024 calendar year
In accordance with IRS Notice 2025-15 and the Paperwork Burden Reduction Act (PBRA) of 2024, we are notifying individuals of their right to request a copy of Form 1095-C for the 2024 calendar year. This notice applies to individuals covered by our health insurance plan as well as full-time employees.
You may request a copy of your Form 1095-C by reaching out to us at any time between now and October 15, 2025. Please use one of the following methods to make your request:
Email: [email protected]
Mail: Xenium, 7401 SW Washo Ct. Suite 200, Tualatin, OR 97062
Phone: 503-612-1564
This notice will remain posted on our website through October 15, 2025.
For any questions or assistance, please contact us using the information provided above.