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Cat. No. 60705M Form 1095-C 2015 600215 Page 2 Instructions for Recipient You are receiving this Form 1095-C because your employer is an Applicable Large Employer subject to the employer shared responsibility provision in the Affordable Care Act. 1095-C Form Department of the Treasury Internal Revenue Service Part I Information Applicable Large Employer Member Employer 1 Name of employee 2 Social security number...
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