
TF5400 Laser ACA 1094B Transmittal Health Coverage 8 1/2 x 11" QTY 25
TF5400 Laser ACA 1094B Transmittal Health Coverage Size: 8 1/2 x 11" Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095B forms to the IRS.This form accompanies form 1095B when mailed to IRS. For employers with fewer than 50 full-time employees (FTEs) that worked at least one month during the year, that provide health plans. For self-insured employers, with fewer than 50 full-time employees that worked at least one month during the year, that provide health plans. 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 for the employer, and one for the IRS so you must order quantity 150). Meets IRS regulations Laser form - for use with 1095B see product TF5095 Compatible with laser or inkjet printers. 1 filing per sheet Shrinkwrapped in packs of 25.