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Laser 1095-B ACA Health Coverage, IRS Copy Item No. TF5095L     Size: 11" x 8 1/2"

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Laser 1095-B ACA Health Coverage, IRS Copy

Laser 1095-B ACA Health Coverage, IRS Copy Item No. TF5095L

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 Internal Reveune Service.


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. ​


Unlike the standard TF5095, the TF5095L is in the landscape format. 

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