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- Laser 1095B ACA Health Coverage forms - 50 sheets/pk
Product Description
Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Typically used by payroll companies and smaller companies with self-funded insurance plans. Compatible with laser or inkjet printers. 1 filing per sheet; packaged in quantities of 100. Paper filing due date: to IRS by February 28 / to recipient by January 31. 50 sheets per pack.
Product ID: TF5095
Part ID: 136840
Material: Paper
Product Details
- Additional Info: 1095B ACA Health Coverage Laser forms for current tax year - 50 sheets per pack.
- Material: Paper
- Product Width (IN): 8.5
- Product Length (IN): 11
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Laser 1095B ACA Health Coverage forms - 50 sheets/pk
You Save $2.51! - Save up to $2.57!
Selected: White Black
White Black
Material: Paper
Lead Time: 15 days
Price Tiers & Discount
| Quantity | Original Price | Discounted Price | Discount |
|---|---|---|---|
| 1+ | $12.86 | $10.29 | 20% OFF |
| 2+ | $12.80 | $10.24 | 20% OFF |
| 3+ | $12.62 | $10.10 | 20% OFF |
| 4+ | $12.59 | $10.07 | 20% OFF |
| 5+ | $12.57 | $10.06 | 20% OFF |
| 6+ | $12.57 | $10.06 | 20% OFF |
| 7+ | $12.57 | $10.06 | 20% OFF |
| 8+ | $12.57 | $10.06 | 20% OFF |
| 9+ | $12.55 | $10.04 | 20% OFF |
| 10+ | $12.55 | $10.04 | 20% OFF |
💡 Free Shipping: Add $489.71 more to qualify for free shipping!
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Shipping Information
Free ground shipping to the lower 48 states applies as long as the quantity of the item ordered multiplied by the per unit price is at least $500. Otherwise a flat $100 less than the minimum charge will apply for any such item. Additional charges may apply for shipping by air or to other locations. Certain items or customizations may incur additional costs not captured during checkout and will be quoted before processing the order. Unless exempt, sales tax will apply to orders shipped to Minnesota and will be added after checkout.
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