JiffyPrintOnline.com
Bulk Laser 1095B ACA Health Coverage<br/> 8 1/2 x 11"
Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. 1 filing per sheet; packaged 500 forms per carton. Typically used by payroll companies and smaller companies with self-funded insurance plans. Paper filing due date: to IRS by February 28 / to recipient by January 31. Compatible with laser or inkjet printers. SIZE: 8 1/2 x 11"

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