Non-full-time employees and non-employees who are enrolled in the medical plan may request a copy of Form 1095-C, Employer-Provided Health Insurance Offer and Coverage. To do so, please contact:

Dimond Bros. Insurance Human Resources Department
HR@dimondbros.com

P.O. Box 1090
Paris, IL 61944

217-465-5041 Ext. 4115

The requested document will be provided within 30 days of the date the request is received.