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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=b21df37

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

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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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