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Home Affordable Care Act Health Coverage Forms 1095-C Page 3 Continuation of ACA Form For More Than 50 Employees Portrait 8.5" x 11"

1095CC50

1095-C Page 3 Continuation of ACA Form For More Than 50 Employees Portrait 8.5" x 11"

1095CC50

$8.95

CATALOG ITEM #: 1095CC50

1095-C Page 3 Continuation forms are filed by companies with more than 50 employees. If they are self-funded, they just fill out all sections of 1095-C. If they are fully- insured, they get a 1095-B from the insurer and fill out Sections I and II of 1095-C. Portrait orientation (8.5" x 11"). FOR MORE THAN 50 EMPLOYEES. Sold in packs of 50 forms.

Use the Double Window DWMR or Self Seal DWMRS envelopes for these 1095-B forms.

Sorry, these ACA forms are NOT part of the combined Laser Form pricing.

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