Bulk Laser 1095B ACA Health Coverage

Name: Bulk Laser 1095B ACA Health Coverage
Brand: SR
SKU: TF5095B
Price: 102.0 USD
Availability: InStock

Sku: TF5095B

TF5095B

This product is out of stock until 9/4/2026. Contact us to see if we can create a suitable alternative.

Qty	Price	Per Box	Per Sheet
1 Boxes 500 Sheets	$102.00	$102.00	$0.20
2 Boxes 1000 Sheets	$191.00	$95.50	$0.19
3 Boxes 1500 Sheets	$276.00	$92.00	$0.18
4 Boxes 2000 Sheets	$348.00	$87.00	$0.17
5 Boxes 2500 Sheets	$414.00	$82.80	$0.17
6 Boxes 3000 Sheets	$471.00	$78.50	$0.16
7 Boxes 3500 Sheets	$523.00	$74.71	$0.15
8 Boxes 4000 Sheets	$569.00	$71.13	$0.14
9 Boxes 4500 Sheets	$607.00	$67.44	$0.13
10 Boxes 5000 Sheets	$639.00	$63.90	$0.13
11 Boxes 5500 Sheets	$671.00	$61.00	$0.12
12 Boxes 6000 Sheets	$694.00	$57.83	$0.12
13 Boxes 6500 Sheets	$715.00	$55.00	$0.11
14 Boxes 7000 Sheets	$723.00	$51.64	$0.10
15 Boxes 7500 Sheets	$734.00	$48.93	$0.10
16 Boxes 8000 Sheets	$738.00	$46.13	$0.09
17 Boxes 8500 Sheets	$784.00	$46.12	$0.09
18 Boxes 9000 Sheets	$831.00	$46.17	$0.09
19 Boxes 9500 Sheets	$876.00	$46.11	$0.09
20 Boxes 10000 Sheets	$922.00	$46.10	$0.09

Description

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.

Specifications

Product Details

Size: 8 1/2" x 11"
Form is used by payroll companies and smaller companies with self-funded insurance plans
One filing per sheet
Packaged as 500 forms per carton
Government approved 20# bond paper
Compatible with laser or inkjet printers
Meets all government and IRS filing requirements

Filings Per Page

One

Use

1095-B

Min. Quantity

1 Boxes (500 Sheets)

Turnaround Time:

Product #	Turnaround
TF5095B	2 business day(s)