Customers also Purchased
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1095-C Employer-Provided Health Insurance Offer and Coverage Form (100 Sheets/Pack)
Item Number: 1095C
Pricing:
| Price per Pack of 100 Sheets | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $60.13 | $56.11 | $52.75 | $51.13 | $50.09 |
| Volume Savings | 6.7% | 12.3% | 15% | 16.7% |
| Need 30+ Packs? Click here for Pricing | ||||
- Laser cut sheets for Inkjet and Laser printers
- Ships in 4-5 business days
Need a larger quantity? Click here for a Pack of 500.
Customers also Purchased
Customers also Purchased...
Description:
2022 Employer Provided Health Insurance Offer and Coverage Forms, 100 per pack. This health coverage form shows whether or not the employer offered health coverage to employees. This form is for employers with 50 or more full-time employees. Both insured and self-insured issue 1095-C. 8-1/2" x11", Printed in Black ink. 100 sheets per Pack
Downloads:
Specifications:
| Brand: | TFP Data Systems | Carbonless: | No | |
|---|---|---|---|---|
| Claim Type: | 1095-C | Color: | White | |
| Condition: | New | Currency: | USD | |
| Holes Punched: | No | Pre-Printed: | Yes | |
| Package Height: | 11 in | Package Weight: | 2.50 LB | |
| Package Width: | 8-1/2 in | Material: | Paper | |
| Country of Origin: | USA | Manufacturer Part Number: | 1095C | |
| Number of Forms: | 250 | Number of Items: | 250 | |
| Perforation: | No | Sheet Size: | 8-1/2 x 11 | |
| Ships in: | 4 to 5 Business Days (Plus time in transit) | Size: | 8-1/2 x 11 in | |
| Style: | Laser cut sheet | Text Color: | Black |
| Brand: | TFP Data Systems |
|---|---|
| Carbonless: | No |
| Claim Type: | 1095-C |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Holes Punched: | No |
| Pre-Printed: | Yes |
| Package Height: | 11 in |
| Package Weight: | 2.50 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | 1095C |
| Number of Forms: | 250 |
| Number of Items: | 250 |
| Perforation: | No |
| Sheet Size: | 8-1/2 x 11 |
| Ships in: | 4 to 5 Business Days (Plus time in transit) |
| Size: | 8-1/2 x 11 in |
| Style: | Laser cut sheet |
| Text Color: | Black |
Reviews:
We’re currently collecting product reviews for this item. In the meantime, here are some from our past customers sharing their overall shopping experience:
4.8
Out of 5.0
Overall Rating
97%
of customers that buyfrom this merchant give
them a 4 or 5-Star rating.
April 5, 2024 by R.B. (Wisconsin, United States)
“Been pleased with the products and prices are comparable or better than other suppliers.”
December 27, 2023 by DESIREE S
“Very easy to reorder”
December 18, 2023 by Rose Ann E
“Clicked on the link, ordered what I wanted and was done in less than 5 minutes. Great site.”
December 14, 2023 by Stephen Alan E
“good job”
November 26, 2023 by Kevin M
“very easy quick like a snap”
