1095C Employer Health Ins Offer & Cov Continuation IRS MDTF5096N

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan.

• Compatible with laser or inkjet printers.
• Paper Filing Due Date: To IRS, February 28 // To Recipient January 31
• 1 Filing per sheet. Shrinkwrapped in packs of 25.
• Report to IRS in mandated landscape format.
• Continuation form is used in addition to 1095C, when an employee has more than 6 dependents.