Material and Labor Booked Records

Laser 1095-C Employer Provided Health Insurance

1 Part Pricing and Options

QuantityPrice
1 $13.99 $13.99 each
2 $27.99 $14.00 each
3 $41.99 $14.00 each
4 $54.99 $13.75 each
5 $68.99 $13.80 each
6 $81.99 $13.67 each
7 $95.99 $13.71 each
8 $109.99 $13.75 each
9 $123.99 $13.78 each
10 $137.99 $13.80 each
  • Product Code: TF5096
  • In Stock


Product Description

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.

Don't forget the compatible envelopes: TF77771

Turnaround Time

No logo: 3 Business Days + Shipping With logo or extra lines of print: 7 Business Days + Shipping