TF5095L 2022 Laser 1095B ACA Health Coverage IRS Copy 11 x 8 1/2" QTY 100
TF5095L 2022 Laser 1095B ACA Health Coverage IRS Copy
Size: 11 x 8 1/2"
This form is used by employers with 50 or more full-time employees (FTEs) who worked at least one month during the year.
Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan.
- Report to IRS in mandated landscape format
- Black ink imprint
- Laser form
- Typically used by payroll companies and smaller companies with self-funded insurance plans.
- Compatible with laser or inkjet printers.
- Paper Filing Due Date: To IRS, February 28 // To Recipient January 31
- 1 filing per sheet.
- 100 per pack