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ACA Forms | ACA Form 1095

Affordable Care Act (ACA) regulations require employers to report healthcare coverage information to employees and the IRS using forms 1095-B and 1095-C. We also offer ACA envelopes that coordinate with the both forms.

1095-B

Employers, government agencies, and other health insurance issuers file Form 1095-B, Health Coverage, to report that their employee or an individual is enrolled in a sponsored plan that offers minimum essential health coverage for some or all of the tax year. Minimum essential coverage does not include coverage consisting solely of excepted benefits, such as vision and dental coverage not part of a comprehensive health insurance plan. Sponsored health insurance plans may include eligible employer-sponsored plans, such as a self-insured group health plan for employees or group health insurance coverage for employees under a governmental plan like the Federal Employees Health Benefits program. Additionally, sponsored health insurance plans may include government-sponsored programs such as Medicare Part A or certain Medicaid programs.

1095-C

Employers use Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, to report the health insurance coverage offered to their employee during the tax year. Generally, applicable large employers (ALE) with 50 or more full-time employees (including full-time equivalent employees) in the preceding calendar year are required to file Form 1095-C and a transmittal Form 1094-C with the IRS.  ALE Members that offer employer-sponsored, self-insured coverage also use Form 1095-C to report information to the IRS and to employees about individuals who have minimum essential coverage under the employer plan. Deadlines for Filing ACA Forms

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1095-B Kit w/ Envelopes – Packs of 50 or 100

L0063
1095-B Kit w/ Envelopes – Packs of 50 or 100

• Depending on pack size selected includes 100 or 200 1095-B forms (50 or 100 for employer, 50 or 100 for employee), 50 or 100 for IRS and 3 Transmittals
• Laser cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• Contains tip sheet to take the guesswork out of the do's and don't of filing forms
• Included envelopes are gummed
• Pack of 50 or 100 accommodates 50 or 100 employees
$60.95

1095-C Kit w/ Envelopes – Pack of 50

L0060
1095-C Kit w/ Envelopes - Pack of 50

• Pack size includes 100 1095-C forms (50 for employer, 50 for employee), 50 for IRS and 3 Transmittals
• Laser cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• Contains tip sheet to take the guesswork out of the do's and don't of filing forms
• Included envelopes are self seal
• Pack of 50 accommodates 50 employees
$57.95

1095-C Kit w/Envelopes & Software – Pack of 50 or 100

L0065
1095-C Kit w/ Envelopes & Software - Pack of 50 or 100

• Depending on pack size selected includes 100 or 200 1095-C forms (50 or100 for employer, 50 or 100 for employee), 50 or 100 for IRS and 3 Transmittals
• Includes ACA Software CD designed by the experts at ComplyRight
• Laser cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• Contains tip sheet to take the guesswork out of the do's and don't of filing forms
• Included envelopes are self seal
• Pack of 50 or 100 accommodates 50 or 100 employees
• Free e-filing not included with purchase
• System requirements listed below
$189.95

ACA Software by ComplyRight

L0057
Affordable Care Act (ACA) Regulations Require Certain Employers to Report Employee Health Plan Coverage Information to the IRS.

The 2023 ACA Software by ComplyRight™ ensures compliance with IRS Code Sections 6055 and 6066 reporting requirements under the ACA Employer Shared Responsibility Rule. ACA reporting requirements are simplified with this Windows-based software that’s designed to accommodate users seeking to create, print and deliver 1094-B, 1095-B, 1094-C and 1095-C forms to employees, and then file them with the IRS. Step-by-step instructions guide you through the filing process and provided templates allow you to import the form data from MS Excel®. Free e-filing not included with purchase

System requirements listed below.

$152.95

ACA 20.23 Software - DOWNLOAD

L0057DL23
ACA 20.23 Software - DOWNLOAD
* Download software below
** Product Key available in README file (Download) in
My Account/Downloadable Products after Order is processed
** Product Key format xxxx xxxx xx23 **

* Product Download Instructions - Click Here!

$145.95

1095-B & C Health Coverage 14" Pressure Seal Blank

L0180
1095-B & C Health Coverage 14" Pressure Seal Blank

• Blank form includes Backer Instructions can be used for either 1095-B or 1095-C forms suitable for employee or employer copies
• 14" Z-fold format does not require envelopes
• Produced on quality 28# paper to ensure trouble-free printing and folding
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form
• Pack of 500 forms


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 500.

From $150.95

1095-B & C Health Coverage Blank w/Backer Instructions

L0111

1095-B & C Health Coverage Blank w/Backer Instructions

• Blank form includes Backer Instructions can be used for either 1095-B or 1095-C forms suitable for employee or employer copies
• Portrait format
• Laser-cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form
• Pack of 50 forms
• Compatible envelopes are L1013 and L1012


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 50.

If you are ordering more than 10,000 forms, please contact service@formstax.com for custom pricing.




From $8.95

1095-C Employer Provided Health Insurance Blank w/ Backer - Portrait

L0315
1095-C Employer Provided Health Insurance Blank w/ Backer - Portrait

• Includes 1095-C forms suitable for employee or employer copies
• Portrait format
• Laser cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 100.

From $13.95

1095-C Employer Provided Health Insurance Blank w/ Backer - Landscape

L0314
1095-C Employer Provided Health Insurance Blank w/ Backer - Landscape

• Includes blank 1095-C forms suitable for employee or employer copies
• Landscape format
• Laser cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 100.

If you are ordering more than 10,000 forms, please contact service@formstax.com for custom pricing.




From $17.95

1095-C Employer Provided Health Insurance - Employee/Employer Copies

L0316
1095-C Employer Provided Health Insurance - Employee/Employer Copies

• Includes 1095-C forms suitable for employee or employer copies
• Portrait format
• Laser cut sheets
• 1 page equals 1 form


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 100.

From $13.95

1095-C Employer Provided Health Insurance - Employee/Employer Copies - Bulk

L0330
1095-C Employer Provided Health Insurance - Employee/Employer Copies

• Includes 1095-C forms suitable for employee or employer copies
• Portrait format
• Laser cut sheets
• Printed with heat-resistant ink for use with most inkjet and laser printers
• 1 page equals 1 form
• Compatible envelopes are L0303 and L0304




From $69.95

1099 Double-Window Envelopes - Gummed

L1013
1099 Double-Window Envelopes -Gummed

• Double-window envelope accommodates all standard IRS 2-Up 1099 formats
• Overall size: 5-5/8" x 9" – Windows display both Payer and Recipient name and address
• Top window size: 3-3/8" x 1-1/8" - Position: 1/2" from left; 3-3/4" from bottom
• Bottom window size: 3-3/8" x 1-7/16" - Position: 1/2" from left; 1-1/2" from bottom
• Works with certain ACA tax forms (L0179 and L0111)
• Moisture/gum-seal flap See L1012 for self-seal latex flap
• Manufactured on 24# white wove paper
• SFI fiber sourcing certified
• Offered in pack sizes of 25, 50, and 500
• Previous SKU was L1312


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 25.

From $4.95

1099 Double-Window Envelopes - Self Seal

L1012
1099 Double-Window Envelopes - Self Seal
• Double-window envelope accommodates all standard IRS 2-Up 1099 formats
• Overall size: 5-5/8" x 9" - Windows display both Payer and Recipient name and address
• Top window size: 3-3/8" x 1-1/8" - Position: 1/2" from left; 3-3/4" from bottom
• Bottom window size: 3-3/8" x 1-7/16" - Position: 1/2" from left; 1-1/2" from bottom
• Works with certain ACA tax forms (L0179 and L0111)
• Self-seal latex flap See L1013 for moisture/gum-seal flap
• Manufactured on 24# white wove paper
• SFI or FSC fiber sourcing certified
• Offered in pack sizes of 25, 50, and 500
• Previous SKU was L0741


This product offers tiered pricing, giving a lower price per form when you increase the quantity ordered. The table below shows pricing for Pack Size = 25.

From $7.95