1095-C Form Notice

1095-C Form Notice

Beginning with the year ended 2024, Glendo is no longer required to provide Form 1095-C Employer-Provided Health Insurance Offer and Coverage forms to employees. However, you can request a copy of the form and one will be provided to you.

To request a copy of your 1095-C form:

Contact: Human Resources 620-343-1084
Email: [email protected]
Request by mail: Glendo Human Resources, 900 Overlander Road Emporia, KS 66801