ACA 1095 Products

ACA 1095 Products

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  • 1094-C Employer Health Transmittal Kit

    $0.00
    Affordable Care Act Form 1094-C Use this transmittal as a coversheet when submitting each batch of form 1095-C to the IRS. This kit contains all 3 pages of the transmittal.
    B1094CS05
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    B1094CS05
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  • 1095-B Continuation Form

    $0.00
    This form is a continuation of form 1095-B > which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-B. A 1095-B form must be issued by a self-insured employer...
    B1095BCON05
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    B1095BCON05
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  • 1095-B Health Coverage

    $0.00
    Affordable Care Act Form 1095-B 1095-B forms are filed with the IRS and supplied to the insured by an insurance company or to the employee by a self-insured employer with fewer than 50 Full Time Equivalent employees.  This official version of the...
    B1095B05
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    B1095B05
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  • 1095-C Continuation Form

    1095-C Continuation Form

    $0.00
    1095-C Continuation Form This form is a continuation of form 1095-C > which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-C. A 1095-C form must be issued by...
    B1095CCON05
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    B1095CCON05
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  • 1095-C Employer Provided Health Insurance

    1095-C Employer Provided Health Insurance

    $0.00
    Affordable Care Act Form 1095-C 1095-C forms are used by employers with greater than 50 Full Time Equivalent Employees.  The form documents what coverage was offered and in which months.  1095-C forms are summarized in batches by the 1094-C...
    B1095C05
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    B1095C05
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  • 1095-C Forms - Pressure Seal 14" EZ Blank with instructions

    1095-C Forms - Pressure Seal 14" EZ Blank with instructions

    $0.00
    Use this 1095-C blank pressure seal form to print all recipient information including mailing information. Instructions are included on the back. Use your pressure seal equipment to fold and seal for mailing.   
    PS95CISB
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    PS95CISB
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  • Blank 1095-B Full Page Form w/Instructions Blank 1095-B Full Page Form w/Instructions

    Blank 1095-B Full Page Form w/Instructions

    $0.00
    Blank Form 1095-B Full page with preprinted instructions on back. Use this blank laser form for printing form 1095-B. Folding perforation at 5 ½”. Order by number of sheets needed. Compatible envelopes: - 95DWENV05 - 95DWENVS05 Note: ...
    B95BPERFI05
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    B95BPERFI05
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  • Blank Pressure Seal 14" EZ Fold 1095

    $0.00
    Use this blank pressure seal form for printing forms 1095-B and 1095-C. 8 ½” x 14” Sheet A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by...
    81650
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    81650
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