{"product_id":"tf5097-laser-blank-aca-1095-with-backer-8-1-2-x-11","title":"TF5097 Laser Blank ACA 1095 with Backer 8 1\/2 x 11\"","description":"\u003cp\u003e\u003cspan style=\"font-family: verdana,geneva; font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan style=\"color: #990000; font-size: large;\" face=\"arial,helvetica, sans-serif\" color=\"#990000\" size=\"2\"\u003e\u003cb\u003eTF5097 Laser Blank ACA 1095 with Backer\u003c\/b\u003e \u003c\/span\u003e\u003cbr\u003e\u003cspan face=\"Arial, Helvetica, sans-serif\" size=\"1\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: medium;\"\u003e Size: 8 1\/2 x 11\"\u003c\/span\u003e\u003c\/strong\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cstyle\u003e\na {\n    text-decoration: none;\n    color: #464feb;\n}\ntr th, tr td {\n    border: 1px solid #e6e6e6;\n}\ntr th {\n    background-color: #f5f5f5;\n}\n\u003c\/style\u003e\n\u003cdiv style=\"font-family: 'Segoe UI'; font-size: 14px; font-style: normal; font-weight: 400; line-height: 20px;\"\u003eMeet your \u003cstrong\u003eAffordable Care Act (ACA)\u003c\/strong\u003e reporting requirements with this IRS-compliant health coverage form, designed to help employers and insurance providers accurately report employee coverage information while maintaining compliance with federal healthcare reporting regulations. ✅🏥📋\u003cspan style=\"font-family: verdana,geneva; font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan face=\"Arial, Helvetica, sans-serif\" size=\"1\"\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cul\u003e\n\u003cli\u003e🏥 \u003cstrong\u003eSupports ACA Reporting Requirements\u003c\/strong\u003e – Use this versatile form for Affordable Care Act (ACA) health coverage reporting and compliance.\u003c\/li\u003e\n\u003cli\u003e🧾 \u003cstrong\u003eWorks as Form 1095-B or 1095-C\u003c\/strong\u003e – Blank front with backer information allows your software to print the complete form based on reporting needs.\u003c\/li\u003e\n\u003cli\u003e🖨️ \u003cstrong\u003eProfessional Black Ink Backer\u003c\/strong\u003e – Preprinted backer information helps ensure clear and accurate form presentation.\u003c\/li\u003e\n\u003cli\u003e⚡ \u003cstrong\u003eLaser \u0026amp; Inkjet Printer Compatible\u003c\/strong\u003e – Easily print employee health coverage information using your existing office equipment.\u003c\/li\u003e\n\u003cli\u003e📄 \u003cstrong\u003eOne Filing Per Sheet\u003c\/strong\u003e – Simple, easy-to-manage format designed for accurate ACA form processing.\u003c\/li\u003e\n\u003cli\u003e📦 \u003cstrong\u003ePackaged in Quantities of 50\u003c\/strong\u003e – Convenient packs support both small and large annual reporting projects.\u003c\/li\u003e\n\u003cli\u003e📋 \u003cstrong\u003eSingle Form with Included Backer\u003c\/strong\u003e – Each sheet contains the required backer information for efficient ACA reporting.\u003c\/li\u003e\n\u003cli\u003e✅ \u003cstrong\u003eOrder the Total Copies Needed\u003c\/strong\u003e – Forms are sold as individual copies, so order enough for employee, employer, and IRS records as required.\u003c\/li\u003e\n\u003cli\u003e💯 \u003cstrong\u003e100% Satisfaction Guarantee\u003c\/strong\u003e – Purchase confidently from a trusted supplier of tax and compliance forms. \u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e~ \u003ca href=\"https:\/\/5forms.com\/pages\/return-policy\"\u003eClick Here For Details.\u003c\/a\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e💰 \u003cstrong\u003eVolume Discounts Available\u003c\/strong\u003e – Save more when ordering larger quantities for payroll departments, benefits administrators, and reporting professionals.\u003c\/li\u003e\n\u003cli\u003e☎️ \u003cstrong\u003eACA Form Experts Ready to Assist\u003c\/strong\u003e – Call 855-5FORMS5 (855-536-7675) Monday-Thursday 9AM-7PM EST and Friday 9AM-5PM EST for product support.\u003cbr\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"NEBS","offers":[{"title":"1 - Pack","offer_id":42384369647675,"sku":"TF5097","price":12.45,"currency_code":"USD","in_stock":true},{"title":"2 - Packs","offer_id":44285900095547,"sku":"TF5097","price":24.89,"currency_code":"USD","in_stock":true},{"title":"3 - Packs","offer_id":44285900128315,"sku":"TF5097","price":37.34,"currency_code":"USD","in_stock":true},{"title":"4 - Packs","offer_id":44285900161083,"sku":"TF5097","price":49.13,"currency_code":"USD","in_stock":true},{"title":"5 - Packs","offer_id":44285900193851,"sku":"TF5097","price":61.57,"currency_code":"USD","in_stock":true},{"title":"6 - Packs","offer_id":44285900226619,"sku":"TF5097","price":74.02,"currency_code":"USD","in_stock":true},{"title":"7 - Packs","offer_id":44285900259387,"sku":"TF5097","price":86.46,"currency_code":"USD","in_stock":true},{"title":"8 - Packs","offer_id":44285900292155,"sku":"TF5097","price":98.91,"currency_code":"USD","in_stock":true},{"title":"9 - Packs","offer_id":44285900324923,"sku":"TF5097","price":111.35,"currency_code":"USD","in_stock":true},{"title":"10 - Packs","offer_id":44285900357691,"sku":"TF5097","price":123.8,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/TF5097.jpg?v=1754997762","url":"https:\/\/5forms.com\/products\/tf5097-laser-blank-aca-1095-with-backer-8-1-2-x-11","provider":"5Forms-LLC","version":"1.0","type":"link"}