1095C Employer Health Ins Offer & Coverag IRS MDTF5096L

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. Packaged in quantities of 100.
• Report to IRS in mandated landscape format.
• Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.