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B1095C1205 - Form 1095-C - Employer Provided Health Insurance Offer and Coverage (2-part Kit)


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

Form 1095-C, Federal "All" 2-Part Kit: This kit includes: 

  • Preprinted IRS 1095-C, Parts I & II
  • Preprinted IRS 1095-C, Part III (Covered Individuals)

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.

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.