ComplyRight 2021 1095-C Tax Form, White/Black, 50/Pack (1095C50)
$13.49

ComplyRight 2021 1095-C Tax Form, White/Black, 50/Pack (1095C50)

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Item #: 24507939 Model #: 1095C50
  • Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
  • Consists of two parts
  • Laser printer compatible
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$13.49
1 each

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About this product

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees. These forms are also used in determining whether an ALE member owes a payment under the employer shared responsibility provisions under section 4980H. Form 1095-C is also used in determining the eligibility of employees for the premium tax credit.

  • Form 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for employees
  • Consists of two parts
  • Laser printer compatible
  • Pack of 50
  • Dimensions: 8.5" x 11"
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