Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns- Page 2 (B1094C205)

Form 1094-C  -  Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns- Page 2 (B1094C205)
Item# b1094c205
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Form 1094-C

Use the 1094-C transmittal as a coversheet when submitting multiple 1095-C forms to the IRS.

Note: This page two of a three-page transmittal.