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BMS Super Forms B1095C05 Form 1095 C Employer Provided Health Insurance Offer and Coverage P6353661BMS-B1095C05 https://cdnimages.opentip.com/full/BMS/BMS-B1095C05.jpg Super Forms B1095C05 Form 1095 C Employer Provided Health Insurance Offer and Coverage Form 1095-CIRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide their employees with documentation outlining any applicable offer of health coverage. Form 1095-C is a statement issued by employers with 50 or more full time employees (including FTEs) to employees and the IRS. Form 1094-C is the related transmittal sent to the IRS.ALL Covered Individuals need to be listed on Page 2 of the 1095-C.Either order item B1095C205 with this form or order both pages together as a kit with item number B1095C1205. Quick Tip: If filing electronically: order one form per employee. If filing by paper: order one form for submission to the IRS and one form per employee.For the tax form, it is for the present tax year (2024). Please make a comment if you need previous year\'s form. 6353661 0.0200lbs 0.00 0.00 0.00
Super Forms
2.75 2025-12-13 In Stock

Super Forms B1095C05 - Form 1095-C - Employer-Provided Health Insurance Offer and Coverage

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SKU: BMS-B1095C05
Unit Price: $0.11
Min.Order Price: $2.75 for 25 units
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Product Description

Form 1095-C
IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide their employees with documentation outlining any applicable offer of health coverage. Form 1095-C is a statement issued by employers with 50 or more full time employees (including FTEs) to employees and the IRS. Form 1094-C is the related transmittal sent to the IRS.

ALL Covered Individuals need to be listed on Page 2 of the 1095-C.
Either order item B1095C205 with this form or order both pages together as a kit with item number B1095C1205.

Quick Tip: If filing electronically: order one form per employee. If filing by paper: order one form for submission to the IRS and one form per employee.

For the tax form, it is for the present tax year (2024). Please make a comment if you need previous year's form.

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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Return Policy

Dated products, including tax forms, must be exchanged or returned unopened by December 1.
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