Free shipping on all orders of $99 or more. Click for details.

 
ACA/1095 Products

1094-C Employer Provided Health Transmittal Page 2

B1094C205

Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns. Use the 1094-C Transmittal as a coversheet when filing 1095-C forms to the IRS.

NOTE: This is page two of a three-page transmittal. A kit of all pages can be found here: B1094CS05

Minimum qty of 25. Order in increments of 25.