TF5095E 2022 Laser ACA 1095B Health Coverage Set with Envelopes 8 1/2 x 11" QTY 25 Sets
TF5095E 2022 Laser ACA 1095B Health Coverage Set With Envelopes
Size: 8 1/2 x 11"
This form is used by insurance carriers for reporting which months the insured and his or her family were covered under the plan.
All the forms and envelopes you need for hard-copy filing 1095B under Affordable Care Act (ACA). Simply order by the number of employees.
- 2-sided form
- Black ink imprint
- Tax set includes, per employee: (1) 1095B IRS copy, (2) 1095B employee/employer copy, (1) employee mailing envelope, also 1094-B transmittal forms
- Order by the number of employees
- Typically used by payroll companies and smaller employers with self-funded insurance plans who have fewer than 50 full-time employees (FTEs) that worked at least one month during the year.
- Compatible with laser and inkjet printers.
- Paper Filing Due Date: To IRS, February 28 // To Recipient January 31
- 25 sets per pack