Affordable Care Act (ACA) Information

Comply with the Reporting Requirements Using Our IRS-Approved Forms

aca-forms

1095-C Form – Employer-Provided Health Insurance Offer and Coverage Form

Report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.

Copies must be furnished to recipients by January 31, 2018

They must be filed with the IRS by:

  • February 28, 2018, if filing by paper
  • April 2, 2018, if electronically filing

 

Laser Forms

1095CIRS  Laser 1095-C IRS Emp’r -Provided Hlth  Ins.  Offer & Cov. -Landscape Version

1095C  Laser 1095-C Emp’r -Provided Hlth  Ins.  Offer & Cov.

1095BCBLK   Form 1095-B & or/ 1095-C Blank w/Backer Laser Cut Sheet 8 1/2″ x 11″

ACA Form Envelopes

Compatible with our 1095-B and 1095-C portrait-format ACA forms, these envelopes are perfect for submitting your filings.

7777-1 Double Window Envelope for 2-Up 1099’s -Misc., R, Div., B, INT,  1098C,  1099K, 5498

Pressure-Seal Forms

PS1095C500   1095-C Emp’r -Provided Hlth  Ins.  Offer & Cov.  Bulk Pressure Seal EZ Fold 500 Forms/Ctn

PS1095BC500BLK Form 1095-B & or/ 1095-C 14″ Pressure Seal EZ Fold Blank Bulk Pack -w/Dual Backer

The Affordable Care Act (ACA) Employer Shared Responsibility Rule requires employers to file annual information returns 1095-B and/or 1095-C with the IRS and deliver employee copies with health plan coverage information. Transmittal forms 1094-B and/or 1094-C also need to be filed with the IRS.

Forms 1095-B and 1095-C are used to report to the IRS, enrolled employees and former employees, details of employees’ health insurance coverage, including verification that the minimum essential coverage (MEC) requirement has been met. Employees and their dependents will use this information to complete their personal tax returns – and those who do not have minimum essential coverage may receive a penalty on their tax returns.

 Who must report and send copies to employees?

■ Health insurance companies

■ Applicable large employers (ALEs) with 50 or more employees

■ Self-insured employers

 Note: Companies that file 250 or more of form 1095-B or 1095-C MUST file electronically