Notice: 1095 Form Requests

To receive a copy of your Form 1095, please contact the following:

Email: ana.tarango@rosemarkonline.com

Physical Mail: 100 Independence Place, Suite 222, Tyler, Texas 75703

Call: 903-597-8040

1095 Form requests will be made available within 30 days from the time we receive your request.

Email is the preferred and most expedient method for form distribution. By providing an email address to us, you give your consent to furnish this form electronically.

If you would like the form to be mailed to your home address on file instead, please note that in your request and provide a valid mailing address.

As a reminder, 1095 forms are informational only and are not required by individuals for federal tax returns.

For more information on how to interpret your form, see: 1095-C Instructions or 1095-B Instructions

Rosemark1
February 19, 2026

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