1095-B "Employee/Employer" Copy Health Coverage

$ 1.04

1095-B ACA Health Coverage - Laser

Tax form 1095-B
Tax Form 1095B50

Minimum order 50.

Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not liable for the individual shared responsibility payment.

For use with envelope DWMR.

Also known as Greatland tax form B95BHPREC05.