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1095-B ACA Form For 50 Employees Or Fewer Portrait 8.5" x 11"


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  • Model: 1095B50


New Items1095-B forms are filed by companies with 50 or fewer employees, funded groups, and individuals who get covered outside of the health insurance marketplace. Portrait orientation (8.5" x 11"). FOR 50 EMPLOYEES OR FEWER. Sold in packs of 50 forms.

Use the Double Window DWMR or Self Seal DWMRS envelopes for these 1095-B forms.

Sorry, these ACA forms are NOT part of the combined Laser Form pricing.

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