1095B Health Coverage Laser Form

  • Image for item #89-1095b: 1095B Health Coverage Laser Form
  1. Priced Per Quantity (Each)
  2. 50

    .2199

  3. 100

    .1399

  4. 200

    .1299

  5. 300

    .1199

  6. 500

    .1099

  7. 1000

    .1075

  8. 2000

    .0999

  • Minimum: 50
  • Multiples of: 50

Item: #89-1095b

Form 1095-B provides information about the individuals in the tax family (employee, spouse, and dependents) who had certain health coverage
(referred to as “minimum essential coverage”) for some or all months during the year.


Minimum essential coverage includes government-sponsored programs, eligible employer-sponsored plans, individual market plans, and other coverage the Department of Health.

  • Image for item #89-1095b: 1095B Health Coverage Laser Form

Related Products