This notice is to inform you that your Form 1095-C for the 2025 tax year will not be automatically distributed.
A copy will be available upon request only.
To request your Form 1095-C, please contact your respective facility payroll or human resources representative on or after January 31, 2026.
You may also contact our office at:
Email: hhschumanresources@hhsc.org
Phone: 808-733-4158
Mailing Address:
Hawaii Health Systems Corporation
Human Resources
3675 Kilauea Avenue
Honolulu, Hawaii 96816
Please allow up to 30 days for your request to be processed.
This notice shall be retained through October 15, 2026.