Bulk Laser 1095C Employer Provided Health Insurance

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance.

• Typically used by payroll companies

  and Applicable Large Employers (ALEs) with 50+ employees.

• One page with backer information per form;

  packaged 500 forms per carton.

• Paper filing due date:

  to IRS by February 28 / to recipient by January 31.

• Compatible with laser

  or inkjet printers.