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1095-C PrePrinted Employer Provided Health ACA Form B1095C05
Description

Meet your reporting requirements under the Affordable Care Act (ACA). Use for 1095-C to report employees who are covered under your health plan.

  • Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.

  • 1 Filing per sheet with Instructions on back

  • 100 Per Pack
     

1095-C PrePrinted Employer Provided Health ACA Form B1095C05

Per Pack: 100
MSRP: $39.95
Our Price: Starting as low as $24.95
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