ComplyRight 2025 1095-B Tax Form, 1-Part, 2-Up, 500/Pack (1095BCBLK500)
Item #:
901-24578207
Model #:
1095BCBLK500
Brand:
ComplyRight
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Description
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
Specifications
Acid Free
Acid free
Brand
ComplyRight
Copy Type
White/Black
Length in Inches
11
Made in America
Yes
Number of Parts
1
Number of Recipient or Employees
51+
Page Format
2-Up
Print Type
Laser
Selling Quantity (UOM)
Pack
Tax Form Pack Size
500
Tax Form Type
1095-B
True Color
White/Black
Width in Inches
8.5
Year
2025
