TF5506 Pressure Seal ACA 1095B Health Coverage 8 1/2 x 14" QTY 500

TF5506 Pressure Seal ACA 1095B Health Coverage Size: 8 1/2 x 14" Make your own self-mailer. Small glue capsules around the edge of forms burst when run through a sealing machine creating a bond, thus creating a self-mailer.This form is used by insurance carriers for reporting which months the insured and his or her family were covered under the plan. 2-sided form 1 filing per sheet. Black ink imprint. Pressure Seal Forms - for Laser Form please see product TF5095 here. 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. 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). This form is not available in multi