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

Bi-Fold 11X17"

Starting at: $47.00

Fluorescent Label 6UP 4" X 3 1/3" (#1680)

Starting at: $100.62

Utility Bills - Standard White for Water Solutions Software

Starting at: $54.00

Fluorescent Label 80UP 1 3/4" x 1/2" (#3900)

Starting at: $100.62

LS-B Template for Microsoft Word

Starting at: $0.00

LS-3.5B2 Template for Microsoft Word

Starting at: $0.00