In compliance with the Affordable Care Act (ACA), Community Action, Inc. is required to provide Form 1095-C, which outlines your health insurance coverage for the previous year.
Form 1095-C is now available upon request.
If you would like to receive a copy of your Form 1095-C, please contact the HR Department using one of the following methods:
Email: Send your request to: jsmith@communityactioninc.org
Phone: 978-641-5024
Mail: Send a request to:
Community Action, Inc.
3 Washington Square 4th Floor
Haverhill, MA 01830
Attn: Human Resources