ACA Form 1095-C Availability Notice
(U.S. Employees Only)

This notice applies to current and former U.S. employees of Crown Bioscience

In accordance with the Affordable Care Act and applicable IRS guidance, Crown Bioscience provides Form 1095-C to eligible U.S. employees. Beginning with the 2025 tax year, Form 1095-C will not be automatically mailed.

Eligible individuals may request a copy of their Form 1095-C.

To request a copy, please contact:

Email: ushr@crownbio.com

Mailing Address:
Crown Bioscience
16550 West Bernardo Drive, Building 5, Suite 525
San Diego, CA 92127

Phone: (858) 622-2900

Requests should include your full name, current mailing address, and the applicable tax year.

Forms will be furnished within 30 days of receipt of the request or by January 31 of the year following the calendar year to which the form relates, whichever is later.