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Affordable Care Act Forms

1095CA - 1095-C IRS Copy A

IRS Copy A Employer-Provided Health Insurance Offer and Coverage form for employers with 50 or more full-time employees (accommodates up to 6 covered individuals) with instructions on back. Can also be used as an employee copy. Sold in packs of 50 sheets. Three transmittals will be included with your order.
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1095C - 1095-C Employee Copy

1095-C-Employer-Provided Health Insurance Offer and Coverage form, employee copy. For employers with 50 or more full-time employees (accomodates up to 6 covered individuals) with instructions on back. Sold in packs of 50 sheets.
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1095CB - 1095-C Employee Copy (500 Sheets)

1095-C-Employer-Provided Health Insurance Offer and Coverage Form employee copy for employers with 50 or more full-time employees (accomodates up to 6 covered individuals) with instructions on back. Sold in packs of 500 sheets.
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