Customers also Purchased
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1095-B Pressure Seal Health Coverage Continuation Forms, 14" EZ Fold Blank with Dual Backer (100 Sheets/Pack)
Item Number: PS1095BC500BLK
Pricing:
| Price per Pack of 500 | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $183.51 | $172.13 | $164.50 | $160.05 | $155.83 |
| Volume Savings | 6.2% | 10.4% | 12.8% | 15.1% |
| Need 30+ Packs? Click here for Pricing | ||||
- Pressure Seal Forms
- Ships in 4-5 business days
Customers also Purchased
Customers also Purchased...
Description:
2022 Health Coverage Continuation Forms, 100 per pack. This health coverage form is used to report which months the insured and his or her family was covered under the plan. 8-1/2" x14", Printed in Black ink. 100 sheets per Pack
Downloads:
Specifications:
| Brand: | TFP Data Systems | Carbonless: | No | |
|---|---|---|---|---|
| Claim Type: | 1095-B | Color: | White | |
| Condition: | New | Currency: | USD | |
| Holes Punched: | No | Pre-Printed: | Yes | |
| Package Height: | 14 in | Package Weight: | 5.00 LB | |
| Package Width: | 8-1/2 in | Material: | Paper | |
| Country of Origin: | USA | Manufacturer Part Number: | PS1095BC500BLK | |
| Number of Forms: | 500 | Number of Items: | 500 | |
| Overall Dimensions: | 8-1/2 in x 14 in | Perforation: | No | |
| Ships in: | 2 to 3 Business Days (plus time in transit) | Size: | 8-1/2 x 14 in | |
| Style: | Pressure Seal Form | Text Color: | Black |
| Brand: | TFP Data Systems |
|---|---|
| Carbonless: | No |
| Claim Type: | 1095-B |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Holes Punched: | No |
| Pre-Printed: | Yes |
| Package Height: | 14 in |
| Package Weight: | 5.00 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | PS1095BC500BLK |
| Number of Forms: | 500 |
| Number of Items: | 500 |
| Overall Dimensions: | 8-1/2 in x 14 in |
| Perforation: | No |
| Ships in: | 2 to 3 Business Days (plus time in transit) |
| Size: | 8-1/2 x 14 in |
| Style: | Pressure Seal Form |
| Text Color: | Black |
Reviews:
We’re currently collecting product reviews for this item. In the meantime, here are some from our past customers sharing their overall shopping experience:
4.8
Out of 5.0
Overall Rating
97%
of customers that buyfrom this merchant give
them a 4 or 5-Star rating.
April 5, 2024 by R.B. (Wisconsin, United States)
“Been pleased with the products and prices are comparable or better than other suppliers.”
December 27, 2023 by DESIREE S
“Very easy to reorder”
December 18, 2023 by Rose Ann E
“Clicked on the link, ordered what I wanted and was done in less than 5 minutes. Great site.”
December 14, 2023 by Stephen Alan E
“good job”
November 26, 2023 by Kevin M
“very easy quick like a snap”
