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2016 Laser 1094B Transmittal Health Coverage

Item#: Size:
Quantity 25 50 100 150 200
TF5400  1-Part/Original $19.99 $24.99 $30.99 $39.99 $45.99
We recommend this quantity.
1.  Quantity

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095B forms to the IRS.

  • All 1095B submissions mailed to the IRS must be accompanied by a Summary Transmittal form 1094B.
  • 1 filing per sheet; shrinkwrapped in packs of 25.
  • Use with 1095B submissions only.
  • Compatible with laser or inkjet printers.