Atlas Employee Tax Info

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
In compliance with the Affordable Care Act (ACA), Atlas Excavating, Inc. is required to
provide individuals with Form 1095-C (Employer-Provided Health Insurance Offer and
Coverage), which outlines your health insurance coverage information for the prior
calendar year.

Note: You do not need this form to file your federal income taxes. The information may
assist you in preparing your return, but it is not required. You should keep a copy for
your records if you request one.

Request Process
Forms 1095-C are available upon request. If you would like to receive a copy of your
applicable form, please contact us using one of the following methods:
• Email: Send your request to payroll@atlasdigs.com
• Phone: Call us at 765-429-4800
• Mail: Submit a written request to 4740 Swisher Road, West Lafayette, IN 47906

Atlas Excavating, Inc. will provide your requested form within 30 days of receiving your
request.

If you have questions about the forms or the Affordable Care Act, please contact Payroll
at 765-429-4800 or visit the IRS website for additional information.