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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, If you order before May, it will be for previous tax year (2023). If you order after May, it will be 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
3.25 2025-04-28 In Stock

Super Forms B1095C05 - Form 1095-C - Employer-Provided Health Insurance Offer and Coverage, Price/EA

Brand Super Forms
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SKU: BMS-B1095C05
Unit Price: $0.13
Min.Order Price: $3.25 for 25 units
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* This item must be ordered in multiples of 25.
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Product Description

Price is for EA.

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, If you order before May, it will be for previous tax year (2023).
If you order after May, it will be 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.

Specifications

Return Policy

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