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1095-B Continuation Form


1095-B Continuation Form
This form is a continuation of form 1095-B which allows for only 6 covered individuals to be listed. Use this form when there are 7 or more covered individuals to be listed on form 1095-B. 

A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage. 

Minimum qty of 25. Order in increments of 25.