In compliance with the Affordable Care Act (ACA), Ascend Capital Management LLC and the LLCs they manage, furnish Form 1095-C (Employer-Provided Health Insurance Offer and Coverage) to applicable employees on an electronic-only basis.
Form 1095-C contains important information regarding any health coverage offers made to you during the applicable tax year and should be retained for your tax records.
Electronic Delivery and Consent
By receiving your Form 1095-C electronically, you affirmatively consent to electronic delivery of this form. This consent applies to all future Forms 1095-C unless withdrawn.
Employees may withdraw consent to electronic delivery at any time by contacting the company using the information below. A withdrawal of consent will be effective within a reasonable period after receipt and will apply to future statements only.
Employees may also request a paper copy of their Form 1095-C at any time, free of charge.
Access Requirements
To access, view, and retain your Form 1095-C electronically, you will need:
- A device with internet access
- A valid email address
- The ability to view and print PDF documents (such as with Adobe Acrobat Reader or similar software)
It is your responsibility to provide and maintain a current email address and to ensure your contact information remains up to date with the company.
Contact Information
For questions, to request a paper copy, or to withdraw consent to electronic delivery, please contact:
Ascend Capital Management LLC
Email: [email protected]
For additional information about ACA reporting requirements, please visit the Internal Revenue Service website or consult your tax advisor