Important information regarding health coverage tax documents.
OVERVIEW
SMP Health – St. Catherine provides access to Form 1095-C (Employer-Provided Health Insurance Offer and Coverage) for eligible employees upon request.
FORM 1095-C REQUESTS
Request Your Tax Document
If you would like to receive a copy of your Form 1095-C, please contact the appropriate location below.
SMP HEALTH – ST. CATHERINE NORTH CAMPUS
Email: theresa.kadrie@smphs.org
Phone: (701) 277-7954
Mail
Payroll/Benefits Specialist
SMP Health – St. Catherine North
Attn: ACA/1095-C Requests
1351 Broadway N.
Fargo, ND 58102
SMP HEALTH – ST. CATHERINE SOUTH CAMPUS
Email: cassey.lene@smpsh.org
Phone: (701) 293-7750
Mail
Payroll/Purchasing Coordinator
SMP Health – St. Catherine South
Attn: ACA/1095-C Requests
3102 South University Dr.
Fargo, ND 58103
WHAT TO INCLUDE IN YOUR REQUEST
To help us process your request, please include:
- Full name
- Last four digits of your Social Security Number (or Employee ID)
- Current mailing address
- Daytime phone number
PROCESSING TIME
Form 1095-C requests will be fulfilled within 30 days of receipt.
QUESTIONS
If you have questions regarding your request, please contact the appropriate location listed above.