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2016 Bulk Laser 1095B ACA Health Coverage

Item#: Size:
Quantity 1 2 3 4 5
TF5095B  1-Part/Original $65.99 $124.99 $177.99 $225.99 $266.99
We recommend this quantity.
1.  Quantity
 

Benefits and Features

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

  • Typically used by payroll companies and smaller companies with self-funded insurance plans.
  • 1 filing per sheet; packaged 500 forms per carton.
  • Paper filing due date: to IRS by February 28 / to recipient by January 31.
  • Compatible with laser or inkjet printers.