Benefits and Features
Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan.
Continuation form is used in addition to 1095Bwhen an employee has more than 6 dependents.
1 filing per sheet;shrinkwrapped in packs of 25.
Paper filing due date:to IRS by February 28 / to recipient by January 31.
Compatible with laseror inkjet printers.