TF5400 2022 Laser ACA 1094B Transmittal Health Coverage 8 1/2 x 11" QTY 25
$16.45
TF5400 2022 Laser ACA 1094B Transmittal Health Coverage
Size: 8 1/2 x 11"
Meet your reporting requirements under the Affordable Care Act (ACA).
A Summary Transmittal is required for submitting 1095B forms to the IRS.
This form accompanies form 1095B when mailed to IRS.
Size: 8 1/2 x 11"
Meet your reporting requirements under the Affordable Care Act (ACA).
A Summary Transmittal is required for submitting 1095B forms to the IRS.
This form accompanies form 1095B when mailed to IRS.
- For employers with fewer than 50 full-time employees (FTEs) that worked at least one month during the year, that provide health plans.
- For self-insured employers, with fewer than 50 full-time employees that worked at least one month during the year, that provide health plans.
- This form is not available in multiple copies. You must order for the total number of copies you need (ex. 50 employees - in most cases you will need one copy for the employee, one for the employer, and one for the IRS so you must order quantity 150).
- Meets IRS regulations
- Laser form - for use with 1095B see product TF5095
- Compatible with laser or inkjet printers.
- 1 filing per sheet
- Shrinkwrapped in packs of 25.
