
1095C Employer Provided Health Insurance Laser Form
- Available to ship in December
- 50
.2199
- 100
.1499
- 200
.1399
- 300
.1299
- 500
.1199
- 1000
.1175
- Minimum: 50
- Multiples of: 50
Item: #89-1095c
Form 1095-C is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or more months of the calendar. ALE members must report that information for all twelve months of the calendar year for each employee.