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1095-B Form Kit (100 PK)

Report employee health plan coverage information to the IRS with the
1095-B Form Kit.


  • Applicable for businesses with employer-sponsored group health plans
  • Applicable for self-insured employers that are not required to send Form 1095-C
  • Prevents penalties ($270 per item) for failing to file and send employee copies
  • Includes a Helpful Tips Guide

  • Pre-order your 2020 ACA Forms! Will begin shipping late 2020 once the forms are released by the IRS.

    SKU: L0063
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    $76.99
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    Protect your company and your employees by having the proper forms to stay in ACA compliance. The Affordable Care Act (ACA) Employer Shared Responsibility Rule requires employers to file forms 1095-B and 1094-B each year. This convenient ACA Compliance Reporting Forms Kit shields your business from non-compliance fines and ensures employees avoid tax return penalties by verifying that they meet the minimum essential coverage (MEC) requirement.

    Included forms:

    • (200) 1095-B Forms (100 for employer, 100 for employee)
    • (100) 1095-B IRS Copy
    • (3) 1094-B Transmittals
    • (100) gummed envelopes for recipient copies

    Protect your company and your employees by having the proper forms to stay in ACA compliance. The Affordable Care Act (ACA) Employer Shared Responsibility Rule requires employers to file forms 1095-B and 1094-B each year. This convenient ACA Compliance Reporting Forms Kit shields your business from non-compliance fines and ensures employees avoid tax return penalties by verifying that they meet the minimum essential coverage (MEC) requirement.

    Included forms:

    • (200) 1095-B Forms (100 for employer, 100 for employee)
    • (100) 1095-B IRS Copy
    • (3) 1094-B Transmittals
    • (100) gummed envelopes for recipient copies
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