Use this blank pressure seal form for printing forms 1095-B and 1095-C.
8 ½” x 14” Sheet
A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage.
A 1095-C form must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and to the IRS.
To order a free sample, please contact us at 1-800-968-1099, or firstname.lastname@example.org.