Material and Labor Booked Records

Bulk Laser 1095-C Employer Provided Health Insurance

1 Part Pricing and Options

QuantityPrice
1 $67.99 $67.99 each
2 $127.99 $64.00 each
3 $184.99 $61.66 each
4 $232.99 $58.25 each
5 $276.99 $55.40 each
6 $315.99 $52.67 each
7 $349.99 $50.00 each
8 $381.99 $47.75 each
9 $406.99 $45.22 each
10 $428.99 $42.90 each
11 $449.99 $40.91 each
12 $465.99 $38.83 each
13 $478.99 $36.85 each
14 $484.99 $34.64 each
15 $492.99 $32.87 each
16 $494.99 $30.94 each
17 $525.99 $30.94 each
18 $556.99 $30.94 each
19 $586.99 $30.89 each
20 $618.99 $30.95 each
  • Product Code: TF5096B
  • In Stock


Product Description

Save money by buying in bulk! Conviently packaged in quantities of 500, this form is perfect for your large business needs. 

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance.

Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.

Paper filing due date: to IRS by February 28 / to recipient by January 31.

Larger quantities are available! Call today for special pricing:1-888-246-0635  

Turnaround Time

No logo: 3 Business Days + Shipping With logo or extra lines of print: 7 Business Days + Shipping