2017 Laser 1095B ACA Health Coverage 741715001

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2017 Laser 1095B ACA Health Coverage 741715001

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TF5095

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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. 1 filing per sheet; packaged in quantities of 100. Paper filing due date: to IRS by February 28 / to recipient by January 31. 100,20.29,4.99,200,23.79,4.99,300,27.99,4.99,400,32.19,4.99,500,37.09,4.99 100,28.99,4.99,200,33.99,4.99,300,39.99,4.99,400,45.99,4.99,500,52.99,4.99

2017 Laser 1095B ACA Health Coverage 741715001

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2017 Laser 1095B ACA Health Coverage 741715001
2017 Laser 1095B ACA Health Coverage 741715001

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Typically use...

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