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1095-B Health Coverage (B1095B05)
1095-B Health Coverage (B1095B05)
 

1095-B Health Coverage

(B1095B05)

Affordable Care Act Form 1095-B
1095-B forms are filed with the IRS and supplied to the insured by an insurance company or to the employee by a self-insured employer with fewer than 50 Full Time Equivalent employees.

This official version of the form must be used for filing with the IRS. For employees/insured our recipient copies can be easily folded and mailed in double window envelopes.

If you are using the official version for both IRS and employee/insured, order 2 forms for each insured, if you are simply filing with the official version, order 1 form per employee/insured.

1095-B forms are summarized by a 1094-B transmittal.
Learn About ACA Reporting



Product Code: B1095B05

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1095-B Health Coverage

(B1095B05)

Affordable Care Act Form 1095-B
1095-B forms are filed with the IRS and supplied to the insured by an insurance company or to the employee by a self-insured employer with fewer than 50 Full Time Equivalent employees.

This official version of the form must be used for filing with the IRS. For employees/insured our recipient copies can be easily folded and mailed in double window envelopes.

If you are using the official version for both IRS and employee/insured, order 2 forms for each insured, if you are simply filing with the official version, order 1 form per employee/insured.

1095-B forms are summarized by a 1094-B transmittal.
Learn About ACA Reporting

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