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Form 1095-C - Employer Provided Health Insurance Offer and Coverage (Covered Individuals) - 25 Qty
B1095C205$7.59Form 1095-C, Part III - Covered Individuals. Use this form in addition to item B1095C05 when reporting covered individuals. IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to... -
Form 1095-C - Half Page (Recipient Copy) - 25 Qty
B95CHPREC05$7.59Preprinted Form 1095-C. Half page with preprinted instructions on the front. Use this blank laser form for printing form 1095-C. Instructions are preprinted on the bottom portion of this form. Order by the number of sheets needed. Compatible... -
Pressure Seal 1095 Blank EZ-Fold Form (14'') - 500 Qty
81650$474.00Use this blank pressure seal form for printing forms 1095-B and 1095-C. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Order by number of sheets. A 1095-B form must be issued by a self-insured... -
Pressure Seal 1095-C EZ-Fold Form (14'') - 500 Qty
81652$474.00Use this preprinted pressure seal form for printing form 1095-C. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Recipient instructions are printed on the back of the top panel. Order by number of sheets... -
Blank Pressure Seal 1095-C EZ-Fold Form (with Instructions) - 500 Qty
PS95CISB$474.00Use this blank pressure seal form for printing form 1095-C. Instructions are included on the back. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Specifications:Construction: Pressure... -
2up Blank 1095 Form (without instructions) - 25 Qty
B95BLANK$7.65Use this blank 2up laser form for printing forms 1095-B and 1095-C. Check your Software for compatibility with blank 2up. Order by the number of sheets needed. Note: Please check your software for 1095 Envelope compatibility... -
2up Blank 1095-C - Full Page (with Instructions) - 25 Qty
B95CPERFI05$7.65Blank Form 1095-C. Use this blank laser form for printing form 1095-C. Instructions are included on the back. Check your software for compatibility with blank 2up. Order by the number of sheets needed. Note: Please check your... -
Form 1095-C - Blank Top (Recipient Copy) - 25 Qty
95CRCBT$7.65Use this form for printing form 1095-C. The top half is blank for your software to print mailing information. Recipient information is at the bottom, and instructions are on the back. Check your software for compatibility. Order by the number of... -
Form 1095-C - Preprinted Full Page (Recipient Copy) - 25 Qty
B95CFPREC05$7.59Preprinted Form 1095-C. Use this laser form for printing form 1095-C. Instructions are included on the back. Check your software for compatibility with blank 2up. Order by the number of sheets needed. Note: Please check your... -
Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns (Page 3) - 25 Qty
B1094C305$3.03Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns. Use the 1094-C Transmittal as a coversheet when filing 1095-C forms to the IRS.NOTE: This is page one of a three-page transmittal. -
Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns (Page 2) - 25 Qty
B1094C205$3.03Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns. Use the 1094-C Transmittal as a coversheet when filing 1095-C forms to the IRS.NOTE: This is page two of a three-page transmittal. -
Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns (Page 1) - 25 Qty
B1094C105$3.03Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns. Use the 1094-C Transmittal as a coversheet when filing 1095-C forms to the IRS.NOTE: This is page one of a three-page transmittal.