Form 1095-B - Health Coverage (1095B)

Form 1095-B - Health Coverage (1095B)

  •  Form 1095-B, Health Coverage
  •  1 form per sheet (Order by number of forms)
$0.00 Setup
$0.09 ea. |
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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


Form 1095-B - Health Coverage (1095B)
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