Laser 1095B ACA 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.

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 in quantities of 100 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
Turnaround Time:	Product # Turnaround TF5095 2 business day(s)