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 Form 1095C merely describes what coverage was made available to an employee A separate form, the 1095B, provides details about an employee's actual insurance coverage, including who in the worker's family was coveredThis form is sent out by the insurance provider rather than the employerSample 1095 C formA PDF of Form 1095B is here Try downloading and printing The offsets for the mailing addresses can be adjusted to get them to line up perfectly for almost any envelope Below is a screen shot of Form 1095C and to the right are the instructions with mailing addresses A PDF of Form 1095C is here Download and try printing

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Sample 1095 c form

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