{"id":33681,"date":"2026-03-03T09:58:58","date_gmt":"2026-03-03T15:58:58","guid":{"rendered":"https:\/\/smphealth.org\/straphael\/?page_id=33681"},"modified":"2026-03-03T10:18:39","modified_gmt":"2026-03-03T16:18:39","slug":"tax-information","status":"publish","type":"page","link":"https:\/\/smphealth.org\/straphael\/tax-information\/","title":{"rendered":"Tax Information"},"content":{"rendered":"

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IMPORTANT TAX DOCUMENT \u2013 FORM 1095-C AVAILABLE UPON REQUEST<\/strong><\/h3>\n

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Our organization will provide Form 1095-C (Employer-Provided Health Insurance Offer and Coverage) to any employee who requests a copy.<\/p>\n

To request your Form 1095-C, please contact:<\/p>\n

Email: michelle.wobbema@smphs.org<\/a>
\nPhone: (701) 845-8218<\/a><\/p>\n

Mail: Payroll & Benefits Specialist
\nSMP Health \u2013 St. Raphael
\nAttn: ACA\/1095-C Requests
\n979 Central Ave N
\nValley City, ND 58072<\/p>\n

When requesting your form, please include your full name, last four digits of your SSN (or Employee ID), current mailing address, and a daytime phone number.<\/p>\n

We will provide your Form 1095-C within 30 days of receiving your request.<\/p>\n

If you have questions, please contact Michelle Wobbema, Payroll & Benefits Specialist using the information above.<\/p>\n

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