Form 1095C


If you were enrolled in Franklin Medical Center’s Employer Provided Medical Plan in 2024, you may request a copy of your 2024 Form 1095C from the Human Resources Department. All separated Franklin Medical Center employees were mailed via postal mail a copy of their Form 1095C to the most current mailing address on file.

Requested Form 1095Cs will be distributed by January 31st or within 30 days upon a request being submitted to the Human Resources Department, whichever is later. All requests should be made directly to the Human Resources Department.

The Human Resources Department can be reached at 318-412-5327 or 318-435-9411 ex. 2427.

Thank you,

Franklin Medical Center

Human Resources Department