1095-B Forms - Preprinted - Instructions On The Back

Form 1095-B - Pre-printed Full page form with instructions on back.

Use this pre-printed form for 1095-B information.  Order by number of employees.  If filing by paper order a second 1095-B to send to the IRS.  Instructions are printed on the back of the form.  The related transmittal is form 1094-B.

A 1095-B form must be issued by SELF-INSURED employers with LESS than 50 full time employees (including full-time equivalent employees) to employees. 

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