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Pressure Seal 1095C - Health Insurance Provided

Name: Pressure Seal 1095C - Health Insurance Provided
Brand: SR
SKU: TF5507
Price: 359.00 USD
Availability: InStock

Sku: TF5507

Qty	Price	Unit Price
500	$359.00	$0.72
1000	$665.00	$0.67
2000	$1,254.00	$0.63
3000	$1,806.00	$0.60
4000	$2,343.00	$0.59
5000	$2,892.00	$0.58

Description

This form is used to fulfil reporting requirements under the Affordable Care Act (ACA). Use this form to report employees who were offered health insurance. This form is typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.

Specifications

Product Details

Size: 8 1/2" x 14"
Form is used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees
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
Small glue capsules around the edge of forms burst when run through a sealing machine to create a bond and a self-mailer
Min. Order: 500 Forms

Filings Per Page

One

Use

1095-C

Turnaround Time:

Product #	Turnaround
TF5507	2 business day(s)