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

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Any tax forms ordered today will ship on Tuesday October 15, 2024 if Ground shipping is chosen
They will ship on Monday October 14, 2024 if Express shipping is chosen