Affordable Care Act 1095B Health Coverage Laser Forms
Item # ABTFF-XMKXT
Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Typically used by payroll companies and smaller companies with self-funded insurance plans. Compatible with laser or inkjet printers. 1 filing per sheet; packaged in quantities of 100. Paper filing due date: to IRS by February 28 / to recipient by January 31. 8 1/2" W x 11" L
Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Typically used by payroll companies and smaller companies with self-funded insurance plans. Compatible with laser or inkjet printers. 1 filing per sheet; packaged in quantities of 100. Paper filing due date: to IRS by February 28 / to recipient by January 31. 8 1/2" W x 11" L
White
Legal, Office
Decoration not included in price.
Production Time: 10 to 15 working days
Packaging: Bulk
60018 (Illinois, United States)| Quantity | Your Price (each) |
|---|---|
| 100 | $0.25 |
| 200 | $0.16 |
| 300 | $0.12 |
| 400 | $0.11 |
| 500 | $0.10 |
| 600 | $0.09 |
| Quantity: | 100 | 200 | 300 | 400 | 500 | 600 |
|---|---|---|---|---|---|---|
| Your Price (each): | $0.25 | $0.16 | $0.12 | $0.11 | $0.10 | $0.09 |
Additional charges may apply.
White
Legal, Office
Decoration not included in price.
Production Time: 10 to 15 working days
Packaging: Bulk
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