TF5095N Laser 1095B ACA IRS Copy Continuation Sheet 8 1/2 x 11" QTY 25

TF5095N Laser 1095B ACA IRS Copy Continuation Sheet Size: 8 1/2 x 11" This form is used in addition to the 1095B IRS Copy when an employee has more than 6 dependents for IRS reporting.  This is a landscape format form mandated for reporting to IRS.Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan. 1-sided form Black ink imprint Compatible with laser or inkjet printers For original 1095L IRS copy that works with this form, see product TF5095L For employers with 50 or more full-time employees (FTEs) that worked at least one month during the year, that have more than 6 dependents. For self-insured employers, with 50 or more full-time employees that worked at least one month during the year, that have more than 6 dependents. This form is not available in multiple copies.  You must order for the total number of copies you need (ex. 50 employees - in most cases you will need one copy for the employee, one