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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)
https://www.form-center.com/web/image/product.template/1176/image_1920?unique=a26db36
SKU:
1095B

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14% Off

( 0.19 0.16 ea. 0.1615 USD )

0.19

19.00 16.15

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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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