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Bulk Laser 1095-C Employer Provided Health Insurance

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Item No: TF5096B
Bulk Laser 1095-C Employer Provided Health Insurance
  • Item #  TF5096B
  • Size: 8 1/2 x 11"
  • Sold in cartons of 500 forms
  • Tax Forms per Sheet: One filing per sheet. (With backer information)
  • Printer Compalibility: Compatible with laser or inkjet printers
  • Use to Report: Whether or not the employer offered health coverage to employees
  • Meets all government and IRS filing requirements
  • Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.
  •  Don't forget the compatible envelopes: TF77771
Select Quantity
1
$64.99
2
$129.99
3
Free Shipping
$194.99
4
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$259.99
5
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$324.99
6
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$389.99
7
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$453.99
8
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$519.99
9
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$583.99
10
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$648.99
11
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$713.99
12
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$778.99
13
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$843.99
14
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$908.99
15
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$972.99
16
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$1037.99
17
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$1102.99
18
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$1167.99
19
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$1232.99
20
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$1297.99
Total: $259.99

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: 2-3 days for processing time + shipping.
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