Pressure Seal 1095C Employer Provided Health Insurance

Item#: TF5507 Size: 14 x 8 1/2

Press and Drag to Zoom


$00.00 was $00.00

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.