1095C Employer Provided Health Insurance Laser Form

  • Image for item #89-1095c: 1095C Employer Provided Health Insurance Laser Form
  1. Priced Per Quantity (Each)
  2. 50

    .2199

  3. 100

    .1399

  4. 200

    .1299

  5. 300

    .1199

  6. 500

    .1099

  7. 1000

    .1075

  8. 2000

    .0999

  • Minimum: 50
  • Multiples of: 50

Item: #89-1095c

Form 1095-C is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or more months of the calendar. ALE members must report that information for all twelve months of the calendar year for each employee.

  • Image for item #89-1095c: 1095C Employer Provided Health Insurance Laser Form

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