Service Agreement – IRS Form 1095‐C Preparation OnlyService Agreement • November 17th, 2017
Contract Type FiledNovember 17th, 2017This agreement specifies the services to be provided by Benefit Solutions, Inc. (referred to as Benefit Solutions), a Third Party Administrator incorporated in the Commonwealth of Virginia. Under this agreement, Benefit Solutions will function as a contractor and a consultant to assist in the preparation and distribution of IRS Form 1095‐C Forms on behalf of the customer named at the end of this agreement. This constitutes the complete agreement between both parties.