Health Coverage Tax Documents (Form 1095-C)

To comply with new legislation, ProLiant will not be automatically mailing Form 1095-C’s to all employees.

You will only receive a physical copy of your Form 1095-C if you request it. This is a change under the Paperwork Burden Reduction Act.

How to Request a Form 1095-C

To request a copy of your Form 1095-C, you must contact us in writing or by phone using one of the below methods:

• By email: blinstrom@proliant.com
• By phone: Britta Linstrom, (678) 317-9929
• By mail: 1100 Abernathy Rd, Suite 1000, Atlanta, GA 30328

Important Information:

• To request your form, please submit your request by October 15, 2026.
• Once a request is received, ProLiant will furnish the form within 30 days of your request or by January 31, 2026, whichever is later.
• This notice is being posted on our website (proliant.com) to ensure it is accessible to all employees and former employees.
• If you have any questions please contact Britta Linstrom, HR Coordinator at (678) 317-9929.
• Electronic Form 1095-C’s will be available in Employee Self Service (ESS) under My Info > Paychecks & W-2 > Form 1095-C.