Form 1095-B - Half Page Recipient (B95CHPREC05) $7.18/25
Product Description
Preprinted Form 1095-B Half Page Form
Use this preprinted laser form for printing form 1095-B. Instructions print from your software onto the bottom portion of this form. 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.
Use this preprinted laser form for printing form 1095-B. Instructions print from your software onto the bottom portion of this form. 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.
