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
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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