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Affordable Care Act Forms

1094BT - 1095-B Transmittal

Transmittal form for 1095-B Health Coverage Information Returns. Sold in packs of 25 sheets.
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1094CT - 1095-C Transmittal

Transmittal form for 1095-C Employer-Provided Health Insurance Offer and Coverage. Sold in packs of 25 forms/75 sheets. Each form is 3 pages.
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1095BA - 1095-B IRS Copy A

1095-B IRS Copy A Health Coverage Form for employers with less than 50 full-time employees (accommodates up to 6 covered individuals) with instructions on back. Can also be used as an employee copy. Sold in packs of 50 sheets. One employee per sheet.
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1095CA - 1095-C IRS Copy

1095-C IRS Copy landscape format Employer-Provided Health Insurance Offer and Coverage Form for employers with 50 or more full-time employees with instructions on back. Sold in packs of 50 sheets.
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