Pressure Seal 1095B Health Coverage

This form is used to fulfil reporting requirements under the Affordable Care Act (ACA). Use this form to report employees covered by your health plan. This form is typically used by payroll companies and smaller companies with self-funded insurance plans.

Product Details	Size: 8 1/2" x 14" Form is used by payroll companies and smaller companies with self-funded insurance plans. One filing per sheet Packaged in quantities of 500 Government approved 20# bond paper Compatible with laser or inkjet printers Meets all government and IRS filing requirements 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.
Filings Per Page	One
Use	1095-B
Min. Quantity	1
Turnaround Time:	Product # Turnaround TF5506 2 business day(s)