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CYR ComplyRight 1095C 1095 C "Employee/Employer" Copy Employer Provided Health Insurance Offer & Coverage Pack of 100 P12205256CYR-1095C https://cdnimages.opentip.com/full/CYR/CYR-1095C.jpg ComplyRight 1095C 1095 C "Employee/Employer" Copy Employer Provided Health Insurance Offer & Coverage Pack of 100 Manufacturer Part Number: 1095C*1095-C EMPLYR PROV HLTH INSR OFFEREmployers 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 also is used in determining the eligibility of employees for the premium tax credit. 12205256 1.1000lbs 0.00 0.00 0.00
ComplyRight
17.6400 2025-09-22 Out of Stock
ComplyRight 1095C 1095-C "Employee/Employer" Copy Employer-Provided Health Insurance Offer & Coverage, Pack of 100, Price/100 Forms

ComplyRight 1095C 1095-C "Employee/Employer" Copy Employer-Provided Health Insurance Offer & Coverage, Pack of 100, Price/100 Forms

Brand ComplyRight
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SKU: CYR-1095C
Price: $17.64($0.18 / Count)
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Product Description

Price is for 100 Forms.

Manufacturer Part Number: 1095C

*1095-C EMPLYR PROV HLTH INSR OFFER

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 also is used in determining the eligibility of employees for the premium tax credit.

warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.
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