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

OSCommerce Packing Slip Template

Starting at: $0.00

CRELoaded Packing Slip Template

Starting at: $0.00

LS-A Template for Microsoft Word

Starting at: $0.00

LS-4X4 Template for Microsoft Word

Starting at: $0.00

LS-6X4BL Template for Microsoft Word

Starting at: $0.00

LS-3.5BL Template for Microsoft Word

Starting at: $0.00