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1095-B Bundle Includes Employee, Employer Copy, IRS Copy, Envelope:
1095-B Bundle Includes Employee, Employer Copy, IRS Copy, Envelope
Item #: TF5095E
Form to submit information about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.

QuantityPriceSavings
25$54.00-
50$70.5035%
75$87.7546%
100$100.5053%


Product Details
  • 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



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