Employee Health Coverage Tax Documents

Our health plan's 2025 Form 1095's are prepared and available upon request. 

The Form 1095s provide information about offers of coverage made to full-time employees as well as coverage information for those enrolled in our group health plan. To request a copy of your Form 1095 or for further information about Form 1095s, please contact:

Human Resources | 641.664.7096 | hr@dchc.org 

Or - mail your request to:

Davis County Hospital & Clinics

ATTN HR

509 N Madison St

Bloomfield, IA 52537