Laser 1095-B ACA Health Coverage, Employee Copy Item No. TF5095 Size: 8 1/2" x 11"
Select Quantity+ See More Quantity
Questions? Ask our experts:
Laser 1095-B ACA Health Coverage, Employee Copy Item No. TF5095
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.