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.
 
  All 1095 Forms were mailed on February 18, 2022. Before requesting a duplicate, please allow ample time for mail delivery as the Forms were mailed outside of Iowa.
 
     *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.