Search
Categories
Tax Products
Real Estate Supplies/Mortgage
CHECKS SUPPLIES
PROMOTIONAL PRODUCTS

  Home > ACA Forms - 1094 & 1095 >

1095-B Continuation Form (B1095BCON05)
1095-B Continuation Form (B1095BCON05)
1095-B Continuation Form (B1095BCON05)
  

1095-B Continuation Form

(B1095BCON05)

1095-B Continuation Form
This form is a continuation of form 1095-B which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-B.


A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.

Learn About ACA Reporting



Product Code: B1095BCON05

SELECT A QTY

QTY & PRICE (Scroll Down)*:

Description
 

1095-B Continuation Form

(B1095BCON05)

1095-B Continuation Form
This form is a continuation of form 1095-B which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-B.


A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.

Learn About ACA Reporting

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

ACA Forms - 1094 & 1095


1099-NEC PP Set 4 Pt w/Env-NEC4E25 $69.95
First Class Mail Envelope with Single Window for 1040 Forms - Peel & Close Flap (CLNT9PS10)
CA Federal Tax Return Envelope with Barcode - #12 (FCAAR10)
Important Information Envelope (FLDENV10)
Preprinted Pressure Seal EZ Fold 1095-C (81652)
W-2 & 1099 Blank 4up Paper - Ver. 2 (Horizontal) (80016)
NE State Tax Envelope for Balance Due - #10 (NEB410)
1099-Q Form - Copy A (Federal) (BQFED05)
Client Tax Instruction & Delivery Envelope (TXINSTENV)