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TOPS 2017 ACA Forms, 1095C, 50/Pack, Affordable Care Act, L1095C (L1095C)

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Item #: 901-1916781
  Model #: L1095C
Brand: TOPS
TOPS 2017 ACA Forms, 1095C, 50/Pack, Affordable Care Act, L1095C (L1095C)
$5.99 Pack
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Description
Used to report healthcare coverage. 8-1/2" x 11", 50 Forms/Pack Satisfy IRS Tax requirements with TOPS 1095-C  Employer-provided Health Insurance Offer and Coverage. Laser printer compatible.  8 1/2" x 11".  Laser, 50 Sheets Per Pack
  • 1095-C Employer-provided Health Insurance Offer and Coverage for an employer that offers health coverage through an employer-sponsored self-insured health plan must complete Forms 1095-C, Parts 1, 2 and 3, for any employee who enrolls in the health coverage, whether or not the employee is a full-time employee for any month of the calendar year
  • 1-part
  • Folding & Sealing Equipment compatible
  • Printed in black ink
  • 8-1/2" x 11"
  • 50 Sheets per pack
  • Instructions are on the back of copy B & C
Specifications
Tax Form Type : 1095 Brand : TOPS Customizable : No
Weight : 0.60 lbs. per Pack

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