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Laser 1095-C Employer Provided Health Insurance Item No. TF5096     Size: 8 1/2" x 11"

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Laser 1095-C Employer Provided Health Insurance

Laser 1095-C Employer Provided Health Insurance Item No. TF5096

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance.

 

Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.

 

Don't forget the compatible envelopes: TF77771




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