1095-C "Employer/Employee" Copy Employer-Provided Health Insurance Offer & Coverage

$ 1.04

1095-C Employer-Provided Health Insurance Coverage - Laser

Tax Form 1095C50

Minimum order 50.

Form 1095-C is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not liable for the individual shared responsibility payment.

For use with Double Window 1099 Misc. Envelope (DWMRS) - Self Seal.

Tax form 1095-C.