• 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
  • For laser printers
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ComplyRight 2024 1095-C Tax Form, 1-Part, White/Black, 50/Pack (1095CIRS50)

Item #: 24507913Model #: 1095CIRS50
$27.59

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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
    • For laser printers
    • Pack of 50
    • Dimensions: 8.5" x 11"

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    Product specifications table
    Attributes ComplyRight 2024 1095-C Tax Form, 1-Part, White/Black, 50/Pack (1095CIRS50) ComplyRight 2024 1094-B Tax Form, 1-Part, White/Black, 500/Pack (1094BT500)
    Your product
    Price is $27.59
    Out of Stock
    Delivery Information
    Data not available
    Free delivery by Fri, Jul 25
    Available in my store
    No
    No
    Length in Inches
    11
    11
    Selling Quantity (UOM)
    Pack
    Pack
    Number of Parts
    1
    1
    True Color
    White / Black
    White / Black
    Tax Form Type
    1095-C
    1094-B
    Acid Free
    Acid Free
    Acid Free
    Year
    2024
    2024
    Width in Inches
    8.5
    8.5
    Print Type
    Laser
    Laser
    Tax Form Pack Size
    50
    500
    Number of Recipient or Employees
    26-50
    51+
    Add To Cart