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Laser 1095-B ACA Health Coverage, Employee Copy

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Item No: TF5095
Laser 1095-B ACA Health Coverage, Employee Copy
  • Item #  TF5095
  • Size: 8 1/2 x 11"
  • Packaged in quantities of 100.
  • Tax Forms per Sheet: One filings per sheet
  • Printer Compalibility: Printer Compalibility s/b Printer Compatibility
  • Use to Report: Employees covered by your health plan.
  • Meets all government and IRS filing requirements
  • Typically used by payroll companies and smaller companies with self-funded insurance plans.
Select Quantity
1
$13.99
2
$25.99
3
$38.99
4
$50.99
5
$63.99
6
$76.99
7
$89.99
8
$102.99
9
$114.99
10
$127.99
Total: $50.99

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. This copy is for the employee. 

Typically used by payroll companies and smaller companies with self-funded insurance plans.

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

If you need larger quantites of these forms look for item TF5095B comes with 500 forms per carton. 

 

Turnaround: 2-3 days for processing time + shipping.
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