Due to high seasonal volume, all tax form orders currently require an additional 2–3 business days for processing. We appreciate your patience and understanding..

Bulk Laser 1095B ACA Health Coverage (TF5095B)

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

Sku: TF5095B

TF5095B

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)