IMPORTANT HEALTH COVERAGE DOCUMENTS

As an employee that was eligible for minimum essential health coverage provided by the PIKE COUNTY FISCAL COURT Health and Welfare Plan, you are entitled to a Form 1095-C for the tax year, which serves as proof of the coverage we offered you.

This statement was previously mailed to individuals; however, due to new regulations designed to reduce paperwork and administrative burden, we are no longer required to send paper copies via mail.

You are not required to file this statement with your personal taxes. However, if you would like to request a free copy of your Form 1095-C for your records, you may do so by emailing fstacy2003@yahoo.com, calling 606-432-6399, or sending a request to:

PIKE COUNTY FISCAL COURT

PIKE COUNTY TREASURER

146 MAIN STREET, FL 4

PIKEVILLE, KY  41501 A paper copy will be mailed to the address on file within 30 days of receiving the request. If you prefer to receive an electronic copy of your Form 1095-C, please include your preferred email with the request.