1095 Forms - Pressure Seal EZ - 14"

(81650)
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.
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Quantity / Unit Price
1 / Free Sample
500 - 999 / $0.2735
1000 - 1999 / $0.2212
2000 - 2999 / $0.2032
3000 - 3999 / $0.1814
4000 - 4999 / $0.1694
5000 - 5999 / $0.1593
6000 - 7999 / $0.151
8000 - 9999 / $0.1419
10000 - 19999 / $0.1279
20000+ / $0.1195
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