Laser 1094-B Transmittal Health Coverage

Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095B forms to the IRS.

All 1095B submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1094B.

Issued by: insurance carrier, for employers. Accompanies your 1095-B form.

Don't forget the compatible envelopes: TF77771

• Item #  TF5400
• Size: 8 1/2 x 11"
• 25 Forms per package
• Tax Forms per Sheet: One filing per sheet
• Printer Compalibility: Compatible with laser or inkjet printers
• A Summary Transmittal is required for submitting 1095B forms to the IRS.
• Meets all government and IRS filing requirements
• Don't forget the compatible envelopes: TF77771