Employee Benefits

IMPORTANT NOTICE: Health Coverage Tax Document Availability

In compliance with federal requirements, Ambassador Personnel Inc. is providing this notice regarding your Form 1095-C for the previous tax year. Due to recent federal legislation, you will only receive this form if you request it.

The form is available for you to download through the Greenshades Employee Portal.

What is Form 1095?

This form provides information about your health coverage for the year and may be needed to file your federal tax return.

How to Request Your Form

You do not need this form to file your taxes, but if you need a copy, please contact the Ambassador Benefit Department at:

• Email: benefits@teamambassador.com
• Phone: 844-292-9904
• Address: PO Box 2057 Thomasville, GA 31799

Please include your full name and the last 4 digits of your Social Security Number in your request.

We will provide your form within 30 days of your request.

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