Benefits and Features
Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan.
Typically used by payroll companies and smaller companieswith self-funded insurance plans.
Report to IRSin mandated landscape format.
1 Filing per sheet.Packaged in quantities of 100.
Paper Filing Due Date:To IRS, February 28 // To Recipient January 31
Compatible with laseror inkjet printers.