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Laser 1095B ACA Health Coverage (TF5095)

Sku: TF5095

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 in quantities of 100
  • Government approved 20# bond paper
  • Compatible with laser or inkjet printers
  • Meets all government and IRS filing requirements
  • Min. Order: 100 Forms
Filings Per Page One
Use 1095-B
Turnaround Time:
Product # Turnaround
TF5095 2 business day(s)