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Affordable Care Act Forms 1095-B Kit (50 PK)

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


Protect your company and your employees by having the proper forms to stay in ACA compliance. The Affordable Care Act (ACA) Employer Shared Responsibility Rule requires employers to file forms 1095-B and 1094-B each year. This convenient ACA Compliance Reporting Forms Kit shields your business from non-compliance fines and ensures employees avoid tax return penalties by verifying that they meet the minimum essential coverage (MEC) requirement.


Due to COVID-19 safety protocols, shipping times for this product are delayed.
We appreciate your understanding as we work to fill orders as quickly as possible.

*Orders expected to ship 7 - 10 days after the order is placed*.


NOTE: ACA deadlines have been extended!

  • Form 1094/1095B/1095C Deadline for Recipient Copies: March 2
  • Form 1094/1095B/1095C Deadline for Paper: March 1
  • Form 1094/1095B/1095C Deadline for Efile: March 31
  • SKU: L0059
    • *
    $52.99
    decrease increase
    • Applicable for insurance carriers (for employers with employer-sponsored group health plans)
    • Applicable for self-insured employers that are not required to send Form 1095-C
    • Prevents penalties ($270 per item) for failing to file and send employee copies
    • Includes a Helpful Tips Guide

    Product Specifications:

      Included forms:
      • 100 1095-B Forms (50 for employer, 50 for employee)
      • 50 1095-B IRS Copy
      • 3 1094-B Transmittals
      • 50 Envelopes for recipient copies

    Old Item # L0055

    • Applicable for insurance carriers (for employers with employer-sponsored group health plans)
    • Applicable for self-insured employers that are not required to send Form 1095-C
    • Prevents penalties ($270 per item) for failing to file and send employee copies
    • Includes a Helpful Tips Guide

    Product Specifications:

      Included forms:
      • 100 1095-B Forms (50 for employer, 50 for employee)
      • 50 1095-B IRS Copy
      • 3 1094-B Transmittals
      • 50 Envelopes for recipient copies

    Old Item # L0055

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