Transmittal Of Employer Provided Health Insurance (3 Pages)

  • Image for item #89-1094c: Transmittal Of Employer Provided Health Insurance (3 Pages)
  1. Priced Per Quantity (Each)
  2. 25

    .3516

  3. 50

    .2476

  4. 100

    .2076

  5. 200

    .1958

  6. 500

    .1956

  • Minimum: 25
  • Multiples of: 25

Item: #89-1094c

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use Forms1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.

Form 1094-C must be used to report to the IRS summary information for each ALE Member (defined below) and to transmit Forms 1095-C to
the IRS.

An ALE Member is, generally, a single person or entity that is an Applicable Large Employer, or if applicable, each person or entity that is a member of an Aggregated ALE Group.

Tax Forms, envelopes and software purchased for the 2024 filing season must be returned by December 31, 2024 to receive a refund.

  • Image for item #89-1094c: Transmittal Of Employer Provided Health Insurance (3 Pages)

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