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1094-C Employer Provided Health Transmittal Page 3


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 one of a three-page transmittal. A kit of all pages can be found here: B1094CS05

Minimum qty of 25. Order in increments of 25.