Customers also Purchased
Customers also Purchased...
1095-C Employer-Provided Health Insurance Offer and Coverage Form, 14" Pressure Seal EZ Fold (500 Forms/Carton)
Item Number: PS1095C500
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
- EZ Fold Pressure Seal Forms
- Ships in 4-5 business days
Customers also Purchased
Customers also Purchased...
Description:
2022 Employer Provided Health Insurance Offer and Coverage Forms, pressure seal EZ fold, 100 per pack. This health coverage form shows whether or not the employer offered health coverage to employees. This form is for employers with 50 or more full-time employees. Both insured and self-insured issue 1095-C. 8-1/2" x14", pressure seal forms, Printed in Black ink. 500 per carton
Downloads:
Specifications:
| Brand: | TFP Data Systems | Carbonless: | No | |
|---|---|---|---|---|
| Claim Type: | 1095-C | Color: | White | |
| Condition: | New | Currency: | USD | |
| Holes Punched: | No | Pre-Printed: | Yes | |
| Package Height: | 14 in | Package Weight: | 12.50 LB | |
| Package Width: | 8-1/2 in | Material: | Paper | |
| Country of Origin: | USA | Manufacturer Part Number: | PS1095C500 | |
| Number of Forms: | 500 | Number of Items: | 500 | |
| Overall Dimensions: | 8-1/2 in x 14 in | Perforation: | No | |
| Sheet Size: | 8-1/2 x 14 | Ships in: | 2 to 3 Business Days (plus time in transit) | |
| Size: | 8-1/2 x 14 in | Style: | Laser cut sheet | |
| Text Color: | Black |
| Brand: | TFP Data Systems |
|---|---|
| Carbonless: | No |
| Claim Type: | 1095-C |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Holes Punched: | No |
| Pre-Printed: | Yes |
| Package Height: | 14 in |
| Package Weight: | 12.50 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | PS1095C500 |
| Number of Forms: | 500 |
| Number of Items: | 500 |
| Overall Dimensions: | 8-1/2 in x 14 in |
| Perforation: | No |
| Sheet Size: | 8-1/2 x 14 |
| Ships in: | 2 to 3 Business Days (plus time in transit) |
| Size: | 8-1/2 x 14 in |
| Style: | Laser cut sheet |
| 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”
