Item #: 2321215 | Model #: STAX1095C6
Staples® 2016 ACA 1095-C Employer-Provided Coverage Forms, Inkjet/Laser, 3-Part, 50/PK
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Staples® 2016 ACA 1095-C Employer-Provided Coverage Forms, Inkjet/Laser, 3-Part, 50/PK

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  • If filing on paper, forms are due to the IRS by 2-28-17.Due to individuals 3-2-17If filing elecronically, forms are due to the IRS 3-31-17
  • 1095-C = 2-Part1094-C = 3-Part
  • Inkjet/Laser tax form
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27.99
27.99
https://www.staples-3p.com/s7/is/image/Staples/m005438984
00718103266314
Staples
Staples® 2016 ACA 1095-C Employer-Provided Coverage Forms, Inkjet/Laser, 3-Part, 50/PK
Product Description
ACA Health Care form 1095-C for employers with 50 or more full-time employees

An employer that offers health coverage through an employer-sponsored self-insured health plan must complete Forms 1095-C, Parts 1, 2 and 3, for any employee who enrolls in the health coverage, whether or not the employee is a full-time employee for any month of the calendar year. Inkjet/Laser format. 50 per pack.

  • If filing on paper, forms are due to the IRS by 2-28-17.Due to individuals 3-2-17If filing elecronically, forms are due to the IRS 3-31-17
  • 1095-C = 2-Part1094-C = 3-Part
  • Inkjet/Laser tax form
  • 50 per pack
  • For employers with 50 or more full-time employees
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