Pressure Seal 1095B Health Coverage

Name: Pressure Seal 1095B Health Coverage
Brand: SR
SKU: TF5506
Price: 359.00 USD
Availability: InStock

Sku: TF5506

Qty	Price	Unit Price
500	$359.00	$0.72
1000	$665.00	$0.67
2000	$1,254.00	$0.63
3000	$1,806.00	$0.60
4000	$2,343.00	$0.59
5000	$2,892.00	$0.58

Description

This form is used to fulfil reporting requirements under the Affordable Care Act (ACA). Use this form to report employees covered by your health plan. This form is typically used by payroll companies and smaller companies with self-funded insurance plans.

Specifications

Product Details

Size: 8 1/2" x 14"
Form is used by payroll companies and smaller companies with self-funded insurance plans.
One filing per sheet
Packaged in quantities of 500
Government approved 20# bond paper
Compatible with laser or inkjet printers
Meets all government and IRS filing requirements
Make your own self-mailer. Small glue capsules around the edge of forms burst when run through a sealing machine to create a bond and a self-mailer.
Min. Order: 500 Forms

Filings Per Page

One

Use

1095-B

Turnaround Time:

Product #	Turnaround
TF5506	2 business day(s)