Websites & Marketing
Checks & Business Supplies
Financial Institutions Personal Checks

2017 Pressure Seal 1095C Employer Provided Health Insurance

Item#: Size:
Quantity 500 1000 2000 3000 4000
TF5507  1-Part/Original $261.99 $485.99 $917.99 $1,319.99 $1,712.99
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 whether employees were offered health insurance.

  • Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.
  • 1 filing per sheet; packaged 500 forms per carton.
  • Paper filing due date: to IRS by February 28 / to recipient by January 31.
  • Make your own self-mailer. Small glue capsules around the edge of forms burst when run through a sealing machine to create a bond and a self-mailer.