Current/Former Employee Notice

Tax Information - Affordable Care Act (ACA)

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

Beginning with tax year 2024, the 1095-C Employer-Provided Health Insurance Offer and Coverage Forms are available upon request for current and former employees with applicable health coverage, including a Health Care Savings Plan or VEBA account. To request a 1095-C form for 2024, please contact:

Beltrami County Auditor-Treasurer’s Office
701 Minnesota Ave NW, Ste 220
Bemidji, MN 56601

Email: payroll@co.beltrami.mn.us

Telephone: 218-333-8448