Text of Draft 2021 IRS Form 1095-C: Employer-Provided Health Insurance Offer and Coverage (PDF)

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Text of Draft 2021 IRS Form 1095-C: Employer-Provided Health Insurance Offer and Coverage (PDF)
Internal Revenue Service [IRS]

[Official Guidance]
May 25, 2021

May 24, 2021. "This Form 1095-C includes information about the health insurance coverage offered to you by your employer. Form 1095-C, Part II, includes information about the coverage, if any, your employer offered to you and your spouse and dependent(s)." [Also available: Draft 2021 IRS Form 1094-C: Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns (Jul. 13, 2020)]

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