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B1094C105 - Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns - Page 1

B1094C105 - Form 1094-C - Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns - Page 1

B1094C105
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 - 2499 and pay only $0.2320 each
  • Buy 2500 - 4999 and pay only $0.2080 each
  • Buy 5000 - 200000 and pay only $0.1970 each

Price per item:

$1.79

Total:

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

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

NOTE: This is page one of a three-page transmittal.