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 Continuation

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Label 30UP 2 5/8" X 1" (#3642)

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Label Sheets LS-6X4B2

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Burris Blank 9UP Tag Template for Microsoft Publisher

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Affordable Care Act Form 1095-B

Starting at: $19.20

Affordable Care Act 1094-B Transmittal Forms

Starting at: $18.30