| 
		 | 
		
			
			
				
					| 
						
 
    Loading...
 
					 | 
				 
				
					| 
						
					 | 
				 
				
					
						
							
								| 
									
								 | 
								
									
				
						
								 | 
						 
						
								
										
										Tops 1095B Affordable Care Act Tax Form
										
								 | 
						 
						
								
  
								 | 
								
										
												
														
																| 
																
																 | 
																   
																L1095B | 
														 
														
																| 
																
																 | 
																   
																TOPL1095B | 
														 
														
																| 
																 
																Printer Brand:
   | 
																   
																Tops | 
														 
														
																|   | 
														 
														
																
																
  | 
																
  | 
														 
														
																| 
																		 
																		
																		InkMart Price:
																		
																  | 
																
																  
$ 8.67
																 | 
														 
														
																| 
																		 
																		
																		 
																		
																  | 
																  
  
																		
																 | 
														 
														
																| 
																		
																		IN STOCK
																		
																		
																 | 
														 
														
																
																		
																		Quantity:    | 
														 
														
																
																  [Product:AddToWishlistButton] 
																  | 
														 
												
										 
								 | 
						 
						
								| Health Coverage Forms 1095B, 50/PK, White.  Affordable Care Act Tax Form is a required form to register health coverage with the Internal Revenue Service. This 1095-B form includes prompts for information about the responsible individual; employer sponsored coverage; issuer or other coverage provider; and covered individuals. It is printed in black ink and is compatible with laser printers. 
								  | 
						 
				
		 
      
    
        
                        
            
	
		
			
          
               
                |  
                OverallRating: 
                 | 
                 
                   No reviews  
                 | 
             
         
                 
                    
		 
	 
 
         | 
     
 
								 | 
								
									
								 | 
							 
						 
					 | 
				 
				
					| 
						
					 | 
				 
			 
		 | 
		
		 |