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BMS Super Forms B1095BCON05 Form 1095 B Health Coverage Continuation Form P6353659BMS-B1095BCON05 https://cdnimages.opentip.com/full/BMS/BMS-B1095BCON05.jpg Super Forms B1095BCON05 Form 1095 B Health Coverage Continuation Form Form 1095-B - Covered Individuals. Use this continuation form with item B1095B05 to report additional covered individuals.IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide their employees with documentation outlining any applicable offer of health coverage. Form 1095-C is a statement issued by employers with 50 or more full time employees (including FTEs) to employees and the IRS. Form 1094-C is the related transmittal sent to the IRS.For the tax form, If you order before May, it will be for previous tax year (2024).If you order after May, it will be for the present tax year (2025). Please make a comment if you need previous year\'s form.This item is customizableDecoration: Screen Printing, Embroidery or Heat Transfer. 6353659 0.0200lbs 0.00 0.00 0.00
Super Forms
2.75 2026-04-25 In Stock

Super Forms B1095BCON05 - Form 1095-B Health Coverage - Continuation Form

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SKU: BMS-B1095BCON05
Unit Price: $0.11
Min.Order Price: $2.75 for 25 units
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Product Description

Form 1095-B - Covered Individuals. Use this continuation form with item B1095B05 to report additional covered individuals.

IRS Section 6056 defines the reporting requirements for large employers (50 or more full-time equivalent employees) to provide their employees with documentation outlining any applicable offer of health coverage. Form 1095-C is a statement issued by employers with 50 or more full time employees (including FTEs) to employees and the IRS. Form 1094-C is the related transmittal sent to the IRS.

For the tax form, If you order before May, it will be for previous tax year (2024).
If you order after May, it will be for the present tax year (2025). Please make a comment if you need previous year's form.



This item is customizable
Decoration: Screen Printing, Embroidery or Heat Transfer.

warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.

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Return Policy

Dated products, including tax forms, must be exchanged or returned unopened by December 1.
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