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  2. Tax Form 1095-B - Health Coverage (1095B)
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  • 1094 & 1095 Tax Forms ,
  • 1094 & 1095 Tax Forms

    • Tax Form 1095-B - Health Coverage (1095B)

    $ 0.13 $ 0.13
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    Tax Form 1095-B - Health Coverage (1095B)

    Tax Form 1095-B - Health Coverage (1095B)

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    • Form 1095-B, Health Coverage

    • 1 form per sheet (Order by number of forms)

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      •  Authorized Distributor for ADP®

      Self-insured employers with less than 50 full-time employees, or insurers, must issue this form to employees/recipients and submit to the IRS as proof of healthcare coverage. Form 1094-B is the related transmittal.


      • Pre-printed 1-up laser cut sheet

      • 1 form per sheet (Order by number of forms)

      • Actual Size: 8.5"W x 11"H

      • Compatible with envelope 7777

      • Minimum Order Quantity: 100

      Self-insured employers with less than 50 full-time employees, or insurers, must issue this form to employees/recipients and submit to the IRS as proof of healthcare coverage. Form 1094-B is the related transmittal.


      • Pre-printed 1-up laser cut sheet

      • 1 form per sheet (Order by number of forms)

      • Actual Size: 8.5"W x 11"H

      • Compatible with envelope 7777

      • Minimum Order Quantity: 100

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