Form 1095-B must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.

Be sure to order enough to give to your employees and submit to the IRS.

Three 1094 Transmittal Forms are included with your order.



Recently Viewed   See More

Affordable Care Act 1095 Double Window Envelope (Moisture Seal)

Starting at: $13.75

Burris Ride Release ID Dash - Small  - Sun Shine

Starting at: $44.85

Blank Mailing Label Sheets - Legal Size - LS-Address-14P

Starting at: $169.38

The Ultimate Packing Slip - Layout LS-ULTPS

Starting at: $198.00

Blank Mailing Labels LS-Address

Starting at: $40.33

Integrated Labels for QuickBooks ® LS-QB

Starting at: $40.33