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2001 S State St N4-700
PO Box 144575
Salt Lake City, UT 84114-4575
(385) 468-0570
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IRS Form 1095-C reports your offer of medical coverage to the IRS and will be available by March 2, 2020. The Form is not required to file your 2019 tax return, and you can opt-in to receive it electronically by logging in to PeopleSoft > Main Menu > Self Service > Benefits > 1095-C Consent.