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1095-C IRS Employer-Provided Health Insurance Offer and Coverage Form, Landscape Version (100 Sheets/Pack)
Item Number: 1095CIRS
Pricing:
| Price per Pack of 100 | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $35.29 | $31.98 | $30.77 | $30.31 | $29.86 |
| Volume Savings | 9.4% | 12.8% | 14.1% | 15.4% |
| Need 30+ Packs? Click here for Pricing | ||||
- Laser cut sSheets for Inkjet and Laser printers
- Ships in 4-5 business days
Customers also Purchased
Customers also Purchased...
Description:
Employers with 50 or more full-time employees have to declare whether they provide health insurance for employees each year at tax time. The 1095-C IRS Employer-Provided Health Insurance and Coverage Form is available in packs of 1,000, with volume discounts as the quantity ordered goes up.
The form is available in landscape orientation, as dictated by the government, and is printed on laser cut sheets that can be fed into inkjet and laser printers so the human resources department can print directly on the form rather than manually filling out a page for each employee by hand. This health coverage form shows whether or not the employer offers health coverage to employees. This form is for employers with 50 or more full-time employees. Both insured and self-insured issue 1095-C. 8-1/2" x11" forms are printed in Black ink, 100 sheets per Pack.
Downloads:
Specifications:
| Brand: | ComplyRight | Carbonless: | No | |
|---|---|---|---|---|
| Claim Type: | 1095-C | Color: | White | |
| Condition: | New | Currency: | USD | |
| Holes Punched: | No | Pre-Printed: | Yes | |
| Package Height: | 11 in | Package Weight: | 8.50 LB | |
| Package Width: | 8-1/2 in | Material: | Paper | |
| Country of Origin: | USA | Manufacturer Part Number: | 1095CIRS | |
| Number of Forms: | 300 | Number of Items: | 1000 | |
| Perforation: | No | Ships in: | 4 to 5 Business Days (Plus time in transit) | |
| Size: | 8-1/2 x 11 in | Style: | Laser cut sheet | |
| Text Color: | Black |
| Brand: | ComplyRight |
|---|---|
| Carbonless: | No |
| Claim Type: | 1095-C |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Holes Punched: | No |
| Pre-Printed: | Yes |
| Package Height: | 11 in |
| Package Weight: | 8.50 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | 1095CIRS |
| Number of Forms: | 300 |
| Number of Items: | 1000 |
| Perforation: | No |
| Ships in: | 4 to 5 Business Days (Plus time in transit) |
| Size: | 8-1/2 x 11 in |
| Style: | Laser cut sheet |
| Text Color: | Black |
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