Home > Form 1095-B Full Page Recipient (B95BFPREC05)
Form 1095-B Full Page Recipient (B95BFPREC05)
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.