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1095-B Health Coverage - 25 Qty
B1095B05$7.59Form 1095-BThe Internal Revenue Code (IRC) Section 6055 outlines the requirements for 1095-B reporting. Form 1095-B must be issued by the insurance company (or self-insured employer) to the individual and the IRS as proof of coverage. Form 1094-B is the... -
Form 1095-B - Full Page (Recipient Copy) - 25 Qty
B95BFPREC05$7.59Preprinted Form 1095-B. Full page with preprinted instructions on back. Use this blank laser form for printing form 1095-B. Instructions are preprinted on the back. A 1095-B form must be issued by a self-insured employer with less than 50 full-time... -
Form 1095-B Health Coverage - Continuation Form - 25 Qty
B1095BCON05$7.59Form 1095-B - Covered Individuals. Use this continuation form with item B1095B05 to report additional covered individuals. IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide... -
2up Blank 1095-B Form (with Instructions) - 25 Qty
B95BPERFI05$7.65Blank Form 1095-B. Use this blank laser form for printing form 1095-B. Instructions are preprinted on the back. A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees),... -
Form 1095-C - Employer Provided Health Insurance Offer and Coverage (2-part Kit) - 25 Qty
B1095C1205$15.39Form 1095-C, Federal "All" 2-Part Kit: This kit includes: Preprinted IRS 1095-C, Parts I & II Preprinted IRS 1095-C, Part III (Covered Individuals) IRS Section 6056 defines the reporting requirements for large employers (50 or more... -
Form 1095-C - Employer-Provided Health Insurance Offer and Coverage - 25 Qty
B1095C05$7.59Form 1095-CIRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide their employees with documentation outlining any applicable offer of health coverage. Form 1095-C is a statement... -
Form 1095-C - Employer Provided Health Insurance Offer and Coverage (Covered Individuals) - 25 Qty
B1095C205$7.59Form 1095-C, Part III - Covered Individuals. Use this form in addition to item B1095C05 when reporting covered individuals. IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to... -
Form 1095-C - Half Page (Recipient Copy) - 25 Qty
B95CHPREC05$7.59Preprinted Form 1095-C. Half page with preprinted instructions on the front. Use this blank laser form for printing form 1095-C. Instructions are preprinted on the bottom portion of this form. Order by the number of sheets needed. Compatible... -
Pressure Seal 1095 Blank EZ-Fold Form (14'') - 500 Qty
81650$474.00Use this blank pressure seal form for printing forms 1095-B and 1095-C. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Order by number of sheets. A 1095-B form must be issued by a self-insured... -
Pressure Seal 1095-C EZ-Fold Form (14'') - 500 Qty
81652$474.00Use this preprinted pressure seal form for printing form 1095-C. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Recipient instructions are printed on the back of the top panel. Order by number of sheets... -
Blank Pressure Seal 1095-C EZ-Fold Form (with Instructions) - 500 Qty
PS95CISB$474.00Use this blank pressure seal form for printing form 1095-C. Instructions are included on the back. Use your pressure seal equipment to fold and seal so the form will be ready to mail. Specifications:Construction: Pressure... -
2up Blank 1095 Form (without instructions) - 25 Qty
B95BLANK$7.65Use this blank 2up laser form for printing forms 1095-B and 1095-C. Check your Software for compatibility with blank 2up. Order by the number of sheets needed. Note: Please check your software for 1095 Envelope compatibility...