Quantity Number of | Lot Price |
50 | $19.20 |
100 | $36.60 |
200 | $64.03 |
300 | $77.76 |
500 | $105.77 |
1000 | $181.25 |
>1000 | Call us at 1-800-982-3676 or Email Us For Price |
If your employee has more than 6 people covered on their insurance, use this form (with the 1095-C) for the extra people