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1095-B IRS Copy Health Insurance Offer and Coverage:
1095-B IRS Copy Health Insurance Offer and Coverage
Item #: TF5095L
Form to submit information about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.

QuantityPriceSavings
100$24.00-
200$29.2539%
300$35.2551%
400$39.7559%
500$47.2561%
1000$78.0068%


Product Details
  • 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.



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