2021 Tax Information
(Form 1095 Availability Notice)
If you were enrolled in our company-sponsored health plan during the this calendar year, you are entitled to request a copy of your Form 1095. This form contains important information about your health coverage and may be needed for your tax records.
To request a copy of your form 1095, please contact us using the information below:
Mailing Address
1522 Market Center Blvd.
Dallas, Texas 75207
Phone Number
(214) 742-8665
Email Address
admin@hargroveelectric.com
Important Notes
- Requests must be submitted by the individual whose name is on the form.
- The Form 1095 will be mailed or hand-delivered within 30 days of your request, unless you consent to receive it electronically.
- This form is for informational purposes and supports your tax filings regarding health coverage.