City of Irvine employees, former employees, and retirees may receive a copy of their Form 1095-C upon request. Contact the Benefits Team at benefits@cityofirvine.org (Open in new window) or 949-724-6123 to request a copy of your Form 1095-C.
You may also submit a request in writing to:
City of Irvine Human Resources
Attn: Benefits
PO BOX 19575
Irvine, CA 92623
Please include your full legal name in the request and a phone number should we have any questions.