Form 1095-C Continuation Form

(B1095CCON05)
1095-C Continuation Form
This form is a continuation of form 1095-C > which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-C.


A 1095-C form must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and to the IRS.

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