ACA Team Contact


To request a duplicate Form 1095, make corrections to your Form 1095, or to ask questions related to ACA requirements, enter the requested information below. When completed, press the button "Submit to ACA Team". Your information will be automatically forwarded.
 The Form 1095 will be mailed on or before January 31, 2020.
     *Response required

   NOTE: Your Form 1095 will be mailed from outside the state of Iowa via USPS. Please allow ample time for mail delivery.

NOTE: ***If selecting Email as a contact method, you are granting the State of Iowa permission to email confidential information.