You have successfully added an item to your cart. View Cart
B1094C205 - 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
Bulk Pricing:
Buy in bulk and save

Bulk discount rates

Below are the available bulk discount rates for each individual item when you purchase a certain amount

  • Buy 2 - 9 and pay only $1.7900 each
  • Buy 10 - 24 and pay only $1.7900 each
  • Buy 25 - 49 and pay only $1.1800 each
  • Buy 50 - 99 and pay only $0.6520 each
  • Buy 100 - 199 and pay only $0.5050 each
  • Buy 200 - 499 and pay only $0.3750 each
  • Buy 500 - 999 and pay only $0.3070 each
  • Buy 1000 - 200000 and pay only $0.2320 each

Price per item:

$1.79

Total:

$ 25
Qty: Order a minimum of 10 and in multiples of 25
! Order in multiples of 25

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: 1094-C All Pages