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

Bulletin with Detachable Visitor / Comment Card - Key Lime

Starting at: $41.00

Premium Matte Inkjet Cut Postcards (4X6)

Starting at: $37.00

Color Label 14UP 4" x 1 1/3" with 1 vertical perf (#3180)

Starting at: $103.70

Burris Ride Release ID Dash - Large - Wild Canary

Starting at: $37.00

Door Hangers 3UP - Pop-Out Circle - Standard White

Starting at: $36.00

Affordable Care Act Form 1095-B Continuation

Starting at: $19.20