Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use forms 1094-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. ComplyRight form 1094-C must be used to report to the IRS summary information for each applicable large employer (ALE) and to transmit forms 1095-C to the IRS. This form is also used in determining whether an ALE member owes a payment under the employer shared responsibility provisions under section 4980H.
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Form 1094-C must be used to report to the IRS summary information for each applicable large employer (ALE) and to transmit forms 1095-C to the IRS
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Consists of three parts
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Laser printer compatible
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Pack of 500
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Dimensions: 8.5″ x 11″











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