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1095-C Bundle Includes Employee, Employer Copy, IRS Copy, Envelope:
1095-C Bundle Includes Employee, Employer Copy, IRS Copy, Envelope
Item #: TF5096E
Form to submit information about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.

QuantityPriceSavings
50$75.75-
100$102.0033%
150$152.2533%
200$201.7533%
400$376.5038%


Product Details
  • Order by number of emplayees
  • Form consists of 3 pages, 2 sided, black/black
  • combined pages 2 & 3 into one backer
  • Use for summary transmittal record for form 1095-C
    • Issued by: employers. Accompanies 1095-C when mailed to IRS.



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