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 Form 1095-B

Starting at: $19.20

Lightweight Bulletin with Detachable Visitor / Comment Card - White

Starting at: $29.75

Four-of-a-Kind Utility Lightweight White Postcards

Starting at: $54.00

Burris Utility Template for Microsoft Publisher

Starting at: $0.00

Burris Blank 2UP Double Postcard Template for Microsoft Publishe

Starting at: $0.00

Burris Postcard Template for Microsoft Publisher

Starting at: $0.00