IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

As part of our commitment to reducing paperwork, Adjmi Apparel Group is providing IRS Form 1095-C (and/or 1095-B) upon request rather than through automatic mailing. This form provides information about the health coverage offered to you and your family for the 2025 calendar year.

You may request a copy of your 1095 form at any time. We will provide it to you within 30 days of your request.

To Request Your Form:

Email: RSilverman@adjmi.com

Mail: 463 Seventh Avenue, 4th Floor, New York, NY 10018

Phone: 212-629-9600 x6029

For questions regarding your health coverage tax documents, please contact us using the phone number listed above.