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Home > 1095 & 1094 Health Coverage Forms

1095 & 1094 Health Coverage Forms

The Affordable Care Act contains comprehensive health insurance reforms and includes tax provisions that affect individuals, families, businesses, insurers, tax-exempt organizations and government entities. These tax provisions contain important changes, including how individuals and families file their taxes. The law also contains benefits and responsibilities for other organizations and employers.

1095-B Employee Copy

$25.50
And Up Order Now

QUANTITY
Single	$25.50	$31.50	$37.50	$42.75	$50.25	$83.25

1095-B Continuation-Employee Copy

$21.00
And Up Order Now

QUANTITY
Single	$21.00	$24.75	$31.50	$39.00	$48.00	$57.00	$61.50	$81.00	$99.75

1095-B Bundle Includes Employee, Employer Copy, IRS Copy, Envelope

$57.75
And Up Order Now

QUANTITY
Single	$57.75	$75.75	$93.75	$108.00	$156.00	$375.00

1095-B IRS Copy Health Insurance Offer and Coverage

$25.50
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QUANTITY
Single	$25.50	$31.50	$37.50	$42.75	$50.25	$83.25

1095-B Continuation-IRS Copy

$21.00
And Up Order Now

QUANTITY
Single	$21.00	$24.75	$31.50	$39.00	$48.00	$44.25	$50.25	$66.00	$81.00

1095-C Employee Copy

$25.50
And Up Order Now

QUANTITY
Single	$25.50	$31.50	$37.50	$42.75	$50.25	$83.25

1095-C Continuation - Employee Copy

$21.00
And Up Order Now

QUANTITY
Single	$21.00	$24.75	$31.50	$39.00	$48.00	$57.00	$57.75	$75.75	$93.00

1095-C Bundle Includes Employee, Employer Copy, IRS Copy, Envelope

$75.75
And Up Order Now

QUANTITY
Single	$75.75	$102.00	$152.25	$201.75	$376.50

1094-B Laser Transmittal

$21.00
And Up Order Now

QUANTITY
Single	$21.00	$24.75	$31.50	$48.00	$61.50	$81.00	$99.75

1094-C Laser Transmittal

$53.25
And Up Order Now

QUANTITY
Single	$53.25	$66.75	$81.00	$122.25	$145.50	$192.00	$255.75

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	2 sided, black/black Issued by insurance carriers, for employers with fewer than 50 full-time employees (FTEs) and self-insured employers with fewer than 50 Fulltime employees, that provide health plans Used for reporting which months the insured and his or her family were covered under the plan. Order Now

	1 sided, black Use for summary transmittal record for form 1095-B Issued by:insurance carrier, for emplyers. Accompanies 1095-B when mailed to IRS Order Now

	2 sided, black/black Issued by: employers with 50 oir more full-time employees (Applicable Large Employers) both insured and self-insured employers with fewer than 50 Fulltime employees, that provide health plans Used for reporting whether or not the employer offered health coverage to employees. Order Now

	Order by number of emplayees Form consists of 3 pages, 2 sided, black/black combined pages 2 & 3 into one backer Use for summary transmittal record for form 1095-C Issued by: employers. Accompanies 1095-C when mailed to IRS. Order Now

	Form consists of 3 pages, 2 sided, black/black combined pages 2 & 3 into one backer Use for summary transmittal record for form 1095-C Issued by: employers. Accompanies 1095-C when mailed to IRS. Order Now