Legal Notices

Legal Notices

This section includes key details about your benefit plans along with legally required notices and helpful reference materials. You can view or download any document by clicking the links below. If you’d like a printed version, contact Benefits Support to request a copy.

Medical

Dental

Vision

Voluntary Medical Benefits

401(k) Retirement Plan

Leave of Absence (LOA)

Important Health Coverage Tax Documents

Notice of Availability of Tax Form 1095

In accordance with the Paperwork Burden Reduction Act, effective for forms for Tax Year 2025, Your Employer will no longer be furnishing IRS Form 1095 automatically to all active employees unless required by state law. Instead, forms will be provided upon request.

If you want to obtain your Form 1095, you may do so by logging into your benefits portal at https://app.unifyhr.com/ and selecting the option to submit a request for a copy of your form.

You may alternatively request your form by writing to WEX ACA 1095, P.O. Box 2310, Fargo, ND 58108-2310.  To request your 1095 form in writing, please complete this 1095 Form Request Template and mail it to the PO Box provided in this notice. If you have questions or need assistance logging into your portal or requesting your form, please call the HR Service Support Center at 888-659-3616 (Weekdays, 8 AM – 5 PM PT) or email ACA1095Request@wexinc.com. Forms will be available within 30 days after a request is received.

Employees living in a state where state law requires forms to be furnished will continue to receive a form automatically, and forms will be sent in accordance with the applicable state’s requirements.