Laser 1095C Employer Provided Health Insurance

Product # TF5096

Larger Image

- TF5096
- 100
- $32.00 $0.32 each
- 200
- $39.00 $0.20 each
- 300
- $47.00 $0.16 each
- 400
- $53.00 $0.13 each
- 500
- $63.00 $0.13 each
- 600
- $71.00 $0.12 each
- 700
- $78.00 $0.11 each
- 800
- $85.00 $0.11 each
- 900
- $92.00 $0.10 each
- 1000
- $104.00 $0.10 each

Stock Alert

TF5096 (TF5096) is out of stock until 9/2/2024

Product Specifications

Ref.: TF5096
Size: 8 1/2" x 11"
Form is typically used by payroll companies & Large Employers with 50+ employees
Each froms is one page with backer information
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

Product Description

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

Turnaround Time

Turnaround:

Up to 48h + Shipping

Turnaround times above are only estimates. Orders with corrupt artwork, missing fonts, low resolution logos, too much text in the personalization, etc. will be delayed until that issue is resolved.

The processing of your order will only start once the issue has been resolved. Finally, although very rare, issues such as a broken plates can occur and may also delay your order, so please try to plan a printing job well in advance of your deadline.

Orders placed after 2pm will be processed the next business day.

Shipping Destinations

Destinations:

U.S.A. and Canada

Shipping Methods:

UPS (Ground, Second Day Air or Next Day Air)

Shipping charges are calculated based on the final amount of your order, please see our Shipping Chart to find out more.

Our Guarantee