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.



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Affordable Care Act Form 1095-B

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Affordable Care Act 1095 Double Window Envelope (Self Seal)

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Burris EDDM 6.25x11 Template for Microsoft Publisher

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LS-3.5BL-14P Legal Size Sheet Template for Microsoft Word

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Label 1UP 8 1/2 inch x 11 inch -1 vertical slit  Template for Micr

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Four-of-a-Kind Utility Bright Color Postcards - Goldenrod

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