Form 1095-B Full Page Recipient (B95BFPREC05)

Form 1095-B Full Page Recipient (B95BFPREC05)
Item# b95bfprec05
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Product Description

Preprinted Form 1095-B Full page with preprinted instructions on back.

Use this preprinted laser form for printing form 1095-B. Folding perforation at 5 1/2". Order by number of sheets needed.

Compatible Envelopes:

95DWENV05 95DWENVS05

a 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.