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B1095C05 - Form 1095-C - Employer-Provided Health Insurance Offer and Coverage

B1095C05 - Form 1095-C - Employer-Provided Health Insurance Offer and Coverage

B1095C05

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$ 25
Qty: Order a minimum of 25 and in multiples of 25
! Order in multiples of 25

Form 1095-C
IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide their employees with documentation outlining any applicable offer of health coverage. Form 1095-C is a statement issued by employers with 50 or more full time employees (including FTEs) to employees and the IRS. Form 1094-C is the related transmittal sent to the IRS.

ALL Covered Individuals need to be listed on Page 2 of the 1095-C.
Either order item B1095C205 with this form or order both pages together as a kit with item number B1095C1205. 

Quick Tip: If filing electronically: order one form per employee. If filing by paper: order one form for submission to the IRS and one form per employee.