TAX INFORMATION: IMPORTANT HEALTH COVERAGE TAX DOCUMENT

(1095-C FORM)

According to new Federal requirements, you may receive a copy of your Form 1095-C upon request. This means that Evergreen Community Charter School is no longer required to automatically send you a 1095-C.

If you would like a copy of your Form 1095-C, please access our benefits portal at Proliant.com and download your Form 1095-C electronically. Alternatively, if you need us to mail your Form 1095-C, please contact us as noted below. We will send your form no later than 30 days after we receive your request.

If you are no longer employed by Evergreen Community Charter School or you retired in 2025, you will receive your Form 1095-C in the mail.

How to contact us:

If you have questions or need further assistance, please contact Beth Rankin using the form below or call write us @:

• Phone: 828-298-2173 Extension 1218

• Mailing Address: 50 Bell Rd. Asheville, NC 28805