1095-B ACA Health Coverage - Blank

$ 0.56

1095-B ACA Health Coverage - Blank - Laser

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.

Blank with Instructions.

For use with envelope 1095-B Double Window Envelope (95DWENV05).

Tax form 1095BCBLK. Also known as Greatland tax form B95BHPREC05.