1095B Health Ins Offer & Coverage Employee Copy MDTF5095

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.

• Compatible with laser or inkjet printers.
• Paper filing due date: to IRS by February 28 / to recipient by January 31.
• 1 filing per sheet; packaged in quantities of 100.
• Typically used by payroll companies and smaller companies with self-funded insurance plans.