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 1095B when 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 laser or inkjet printers.