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Tenmast Forms
P.O. Box 681
Tarrytown, NY 10591


Phone:
800-544-3427

Fax:
800-261-1499
Email:
info@tenmastforms.com

Affordable Care Act Forms

1094BT - 1095-B Transmittal

Transmittal form for submitting 1095-B Health Coverage Information Returns to the IRS. Three free transmittals will be included in your 1095BA order. Sold in packs of 25 sheets.
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1095BA - 1095-B IRS Copy A

1095-B IRS Copy A Health Coverage Form for employers with less than 50 full-time employees (accommodates up to 6 covered individuals) with instructions on back. Sold in packs of 50 sheets. One employee per sheet.
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1095B2 - 1095-B IRS Copy A Continuation Sheet

Continuation sheet for IRS Copy A 1095-B Health Coverage form (needed for 7 - 18 covered individuals). Sold in packs of 50 sheets.
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1095B - 1095-B Employee Copy

Employee copy of 1095-B Health Coverage Form for employers with less than 50 full-time employees (accommodates up to 6 covered individuals) with instructions on back. This form cannot be used for IRS Copy A. Sold in packs of 50 sheets.
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1095BB - 1095-B Employee Copy (Bulk Pack)

Employee copy of 1095B Health Coverage Form for employers with less than 50 full-time employees (accommodates up to 6 covered individuals) with instructions on back. Sold in packs of 500 sheets.
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1095BC - 1095-B Employee Copy Continuation Sheet

1095-B Health Coverage employee copy continuation sheet (needed for 7 - 18 covered individuals). Sold in packs of 50 sheets.
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1094CT - 1095-C Transmittal

Transmittal form for submitting 1095-C Employer-Provided Health Insurance Offer and Coverage Copy A to the IRS. Three free transmittals will be included in your 1095CA order. Sold in packs of 25 forms/75 sheets, each form is 3 pages.
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1095CA - 1095-C IRS Copy A

1095-C IRS Copy A Employer-Provided Health Insurance Offer and Coverage Form for employers with 50 or more full-time employees (accommodates up to 6 covered individuals) with instructions on back. Sold in packs of 50 sheets.
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1095C2 - 1095-C IRS Copy Continuation Sheet

Continuation sheet for 1095-C IRS Copy A (needed for 7 -18 covered individuals). Sold in packs of 50 sheets.
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1095C - 1095-C Employee Copy

1095-C Employer-Provided Health Insurance Offer and Coverage Form employee copy. For employers with 50 or more full-time employees (accommodates up to 6 covered individuals) with instructions on back. Sold in packs of 50 sheets.
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1095CB - 1095-C Employee Copy (Bulk Pack)

1095-C Employer -Provided Health Insurance Offer and Coverage Form employee copy for employers with 50 or more full-time employees (accommodates up to 6 covered individuals) with instructions on back. Sold in packs of 500 sheets.
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1095CC - 1095-C Employee Copy Continuation sheet

1095-C Employer -Provided Health Insurance Offer and Coverage employee copy continuation sheet (needed for 7 - 18 covered employees) Sold in packs of 50 sheets.
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7777-1 - 1095 Envelope - Regular Seal

Regular seal double window envelope for 1095 forms.
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7777-2 - 1095 Envelope - Self-seal

Self-seal double window envelope for 1095 forms.
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