For Employees
ACA Form 1095 Statement - Request Notice
Important Tax Information – Health Coverage
The Affordable Care Act (ACA) requires that individuals have access to information about their health coverage for tax filing purposes.
Instead of automatically mailing Form 1095-C, Kalsec will provide this form upon request.
If you or any of your covered dependents would like a copy of your 2025 Form 1095, you may request one using any of the following methods:
By Email: kalsec_hr@kalsec.com
By Phone: 269-349-9711
In Writing: Kalsec Inc, ATTN: HR, 3713 West Main Street, Kalamazoo, MI 49006
Requests may be submitted at any time.
Once requested, your Form 1095 will be provided within 30 days of the request or by January 31, 2026, whichever is later.
You do not need this form to file your federal income tax return. However, you should keep it with your tax records.
Transparency in Coverage Machine Readable File
The information contained in this Machine-Readable File may be difficult to access without certain technology. These files may be large and require a computer that can download at least up to 1TB (terabyte) of data. Most modern hard drives store half of this amount of data. Based on your computer’s storage and hard drive, attempting to open or download large files may cause instabilities in Windows, cause performance issues resulting in downloads that could take hours, days or weeks depending on the file size and hard drive combination. For reference: 1TB = 243 high-definition streaming movies (average 2 hours per movie).
