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2022 Form 1095-C - IRS
As the recipient of this Form 1095-C, you should provide a copy to any family members covered under a self-insured employer-sponsored plan listed in Part III if
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2016 Form 1095-C - IRS
2016. Part I. Employee. 1 Name of employee. 2 Social security number (SSN). 3 Street address (including apartment no.) 4 City or town. 5 State or province.
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Reporting and Disclosure Guide for Employee Benefit Plans
A quick reference chart for the 2016 Form 5500 immediately follows this section and describes the basic Form 5500 filing requirements for small plans, large
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