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1095-C Employer-Provided Health Insurance Offer and Coverage Form (100 Sheets/Pack)

$31.80

  • Laser cut sSheets for Inkjet and Laser printers
  • Ships in 4-5 business days
SKU: 1095C Category:

Description

2024 Employer Provided Health Insurance Offer and Coverage Forms, 100 per pack. This health coverage form shows whether or not the employer offered 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", Printed in Black ink. 100 sheets per Pack

Additional information

Weight 2.50 lbs
Dimensions 12 × 10 × 15 in
Color

White

Paper Type

OfficeProducts

Perforation

No

Number of Holes Punched

No

Sheet Size

8-1/2 x 11

Color Map

White

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