Affordable Care Act Form 1095-B Continuation
Affordable Care Act Form 1095-B Continuation
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Quantity
Number of
Lot Price
50 $19.20 
100 $36.60 
200 $64.03 
300 $77.76 
500 $105.77 
1000 $181.25 
>1000 Call us at
1-800-982-3676
or Email Us For Price
Quantity:




If your employee has more than 6 people covered on their insurance, use this form (with the 1095-B) for the extra people

There are no templates available for this product


Any tax forms ordered today will ship on Thursday October 09, 2025 if Ground shipping is chosen
They will ship on Wednesday October 08, 2025 if Express shipping is chosen

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