2017 Laser 1095B ACA Health Coverage IRS Copy 741715005

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2017 Laser 1095B ACA Health Coverage IRS Copy 741715005

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TF5095L

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Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan. Typically used by payroll companies and smaller companies with self-funded insurance plans. Report to IRS in mandated landscape format. 1 Filing per sheet. Packaged in quantities of 100. 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 IRS Copy 741715005

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2017 Laser 1095B ACA Health Coverage IRS Copy 741715005
2017 Laser 1095B ACA Health Coverage IRS Copy 741715005

Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan. Typically used b...

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