Comply with the Reporting Requirements Using Our IRS-Approved 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
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