• File the blank Form 1095-B and Form 1095-C with pressure seals and backer instructions according to the IRS guidelines
  • 2-up format: one sheet equals two forms
  • 500 tax forms per pack
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ComplyRight 2025 1095-B Tax Form, 1-Part, 2-Up, 500/Pack (1095BCBLK500)

Item #: 24578207Model #: 1095BCBLK500
$129.99

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  • About this product

    The ComplyRight Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage. Every person that provides minimum essential coverage to an individual during a calendar year must file an information return reporting the coverage. Filers will use the Form 1094-B (transmittal) to submit Forms 1095-B (returns). Small employers that aren't subject to the employer shared responsibility provisions sponsoring self-insured group health plans should use Forms 1094-B and 1095-B to report information about covered individuals. Employers with 50 or more full-time employees (including full-time equivalent employees) use the Forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees. The Form 1094-C must be used to report to the IRS summary information for each Applicable Large Employer (ALE) and to transmit Forms 1095-C to the IRS. These forms are also used in determining whether an ALE member owes a payment under the employer shared responsibility provisions under section 4980H. The Form 1095-C is also used in determining the eligibility of employees for the premium tax credit.

    • File the blank Form 1095-B and Form 1095-C with pressure seals and backer instructions according to the IRS guidelines
    • 2-up format: one sheet equals two forms
    • 500 tax forms per pack

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    Product specifications table
    Attributes ComplyRight 2025 1095-B Tax Form, 1-Part, 2-Up, 500/Pack (1095BCBLK500) ComplyRight 2025 W-2 Tax Form, 1-Part, 2-Up, 50/Pack (520750) ComplyRight 2025 1099-INT Tax Form, 1-Part, 2-Up, Copy B, 50/Pack (512150) ComplyRight 2025 1099-INT Tax Form, 1-Part, 2-Up, Copy C, 50/Pack (512250) ComplyRight 2025 W-2 Tax Form, 1-Part, 2-Up, Employee Copy B, 50/Pack (520250)
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    Delivery by Wed, Sep 10
    Delivery by Wed, Sep 10
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    Delivery by Wed, Sep 10
    Available in my store
    No
    No
    No
    No
    No
    Tax Form Pack Size
    500
    50
    50
    50
    50
    Length in Inches
    11
    11
    11
    11
    11
    Number of Recipient or Employees
    51+
    26-50
    26-50
    26-50
    26-50
    Selling Quantity (UOM)
    Pack
    Pack
    Pack
    Pack
    Pack
    Number of Parts
    1
    1
    1
    1
    1
    True Color
    White / Black
    White
    White / Black
    White / Black
    White / Black
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Year
    2025
    2025
    2025
    2025
    2025
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Print Type
    Laser
    Laser
    Laser
    Laser
    Laser
    Tax Form Type
    1095-B
    W-2
    1099-INT
    1099-INT
    W-2
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    Add To Cart
    Add To Cart