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Home  --> Categories --> Tax Forms --> Affordable Care Act Forms

Page 1 of 2

NECS305


1099 NEC Preptd 3pt Set

New in 2021 1099-NEC form is now 3 forms per page and uses envelope 99DWENV05.



If you previously filed 1099-Misc with box 7 completed, you may need to file the 1099-NEC.

What is NEC?

If the following four conditions are met, you must generally report a payment as NEC.

  • You made the payment to someone who is not your employee.

  • You made the payment for services in the course of your trade or business (including government agencies and nonprofit organizations).

  • You made the payment to an individual, partnership, estate, or, in some cases, a corporation.

  • You made payments to the payee of at least $600 during the year.



Non-Employee Compensation. This 3-part laser set includes preprinted Copy A (federal, red scannable), Copy B (recipient) and Copy C (payer). Copy A has a side perforation. Print each copy as a batch then separate and collate by recipient. Order the quantity equal to the number of recipients for which you file, you'll receive all the necessary forms. Mail federal copies in a batch to the IRS. Mail recipient copies in compatible window envelopes. All 8 ˝ x 11 sheets are printed on 20# laser paper.


Priced by the form set (there are 2 forms per sheet). We are currently shipping 2024 forms. Image may reflect prior years.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$21.60 0% $0.8640
$30.24 30% $0.6048
$51.84 40% $0.5184
$95.04 45% $0.4752
$172.80 50% $0.4320
$183.60 57.5% $0.3672
$226.80 65% $0.3024
$254.90 70.5% $0.2549
$343.50 73.5% $0.2290
$540.00 75% $0.2160
$972.00 77.5% $0.1944
$1,814.00 79% $0.1814


This product has quantity discounts

Use Envelope #99DWENV05
NECS405


1099 NEC Preptd Set 4pt


New in 2021 1099-NEC form is now 3 forms per page and uses envelope 99DWENV05.

If you previously filed 1099-Misc with box 7 completed, you may need to file the 1099-NEC.

What is NEC?

If the following four conditions are met, you must generally report a payment as NEC.

  • You made the payment to someone who is not your employee.

  • You made the payment for services in the course of your trade or business (including government agencies and nonprofit organizations).

  • You made the payment to an individual, partnership, estate, or, in some cases, a corporation.

  • You made payments to the payee of at least $600 during the year.


Non-Employee Compensation. This 4-part laser set includes preprinted Copy A (federal, red scannable), Copy B (recipient), Copy C (payer file) and Copy 1 (payer state). Copy A has a 1/2" side perforation. Print each copy as a batch, then separate and collate by recipient. Order the quantity equal to the number of recipients for which you file, you'll get all the necessary forms. Mail federal copies in a batch to the IRS.

Mail in envelope # 99DWENV05.


Priced by the form set (there are 2 forms per sheet). We are currently shipping 2024 forms. Image may reflect prior years.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$29.10 0% $1.1640
$40.74 30% $0.8148
$69.84 40% $0.6984
$128.04 45% $0.6402
$232.80 50% $0.5820
$247.35 57.5% $0.4947
$305.55 65% $0.4074
$343.40 70.5% $0.3434
$462.75 73.5% $0.3085
$727.50 75% $0.2910
$1,309.50 77.5% $0.2619
$2,444.00 79% $0.2444


This product has quantity discounts

Use Envelope #99DWENV05
NECS505


1099-NEC Preprinted Set 5-part

New in 2021 1099-NEC form is now 3 forms per page and uses envelope 99DWENV05.

If you previously filed 1099-Misc with box 7 completed, you may need to file the 1099-NEC.

What is NEC?

If the following four conditions are met, you must generally report a payment as NEC.

  • You made the payment to someone who is not your employee.

  • You made the payment for services in the course of your trade or business (including government agencies and nonprofit organizations).

  • You made the payment to an individual, partnership, estate, or, in some cases, a corporation.

  • You made payments to the payee of at least $600 during the year.

Non-Employee Compensation. This 5-part laser set includes preprinted Copy A (federal, red scannable), Copy B (recipient), Copy C (payer file), Copy 1 (payer state) and Copy 2 (recipient state). Copy A has a 1/2" side perforation. Print each copy as a batch, then separate and collate by recipient. Order the quantity equal to the number of recipients for which you file, you'll get all the necessary forms. Mail payer copies in a batch to the IRS and state.

Mail recipient copies in envelope #99DWENV05.


Priced by the form set (there are 2 forms per sheet). We are currently shipping 2024 forms. Image may reflect prior years.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$36.60 0% $1.4640
$51.24 30% $1.0248
$87.84 40% $0.8784
$161.04 45% $0.8052
$292.80 50% $0.7320
$311.10 57.5% $0.6222
$384.30 65% $0.5124
$431.90 70.5% $0.4319
$582.00 73.5% $0.3880
$915.00 75% $0.3660
$1,647.00 77.5% $0.3294
$3,074.00 79% $0.3074


This product has quantity discounts

Use Envelope #99DWENV05
1094-C


1094-C Employer Health Transmittal Forms

1094-C Transmittal Form that must be filed with form 1095-C. This transmittal form has 3 unique pages.

1094-C Page 1  covers parts I & II

1094-C Page 2  covers part III

1094-C Page 3 covers part IV

 

 

 



Priced by the form set. We are currently shipping 2024 forms. Image may reflect prior year images.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$41.10 0% $1.6440
$57.54 30% $1.1508
$98.64 40% $0.9864
$180.84 45% $0.9042
$328.80 50% $0.8220
$349.35 57.5% $0.6987
$431.55 65% $0.5754
$485.00 70.5% $0.4850
$653.55 73.5% $0.4357
$1,027.50 75% $0.4110
$1,849.50 77.5% $0.3699
$3,452.00 79% $0.3452


This product has quantity discounts

Use with form 1095-C
4UPDWENV05/4UPDWENVS05


Envelope W2 1099 Double Window

Use this envelope with our 4up forms. For blank 4up compatibility, please request a sample. The security tint and cellophane windows ensure the privacy of information.



ENVELOPE SEALING
GUMMED 
SELF SEALING + $0.05 
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$5.70 0% $0.2280
$96.90 15% $0.1938
$282.15 17.5% $0.1881
$456.00 20% $0.1824
$883.50 22.5% $0.1767
$1,282.50 25% $0.1710
$1,596.00 30% $0.1596
$1,852.50 35% $0.1482
$2,052.00 40% $0.1368


This product has quantity discounts

R4UPDWENV05/R4UPDWENVS05


Envelope 1095-C Double Window

Use this envelope with 1095-C forms. For blank envelope compatibility, please request a sample. The security tint and cellophane windows ensure the privacy of information.



ENVELOPE SEALING
GUMMED 
SELF SEALING + $0.05 
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$5.70 0% $0.2280
$96.90 15% $0.1938
$282.15 17.5% $0.1881
$456.00 20% $0.1824
$883.50 22.5% $0.1767
$1,282.50 25% $0.1710
$1,596.00 30% $0.1596
$1,852.50 35% $0.1482
$2,052.00 40% $0.1368


This product has quantity discounts

80385


First Class Offset Double Window Mailing Envelope (Peel & Close)


This 9 5/8" x 11 5/8" First Class envelope is constructed of 28# paper. The envelope has offset cellophane windows that allows the taxpayer name and address to clearly show through. 

Top window is 1 1/2" x 4", 1 1/4" from the left side of envelope, 9" from the bottom of the envelope.

Bottom window is 1 13/16" x 5 5/8", 2 3/8" from the left side of envelope, 5 1/8" from the bottom of envelope.
Pricing
Available in increments of 100
Quantity
 Total Percent Off Per Unit
$70.80 0% $0.7080
$300.90 15% $0.6018
$876.15 17.5% $0.5841
$1,416.00 20% $0.5664
$2,743.50 22.5% $0.5487
$3,982.50 25% $0.5310
$4,956.00 30% $0.4956
$5,752.50 35% $0.4602
$6,372.00 40% $0.4248


This product has quantity discounts

1095-C


ACA Employer Provided Health Insurance 50 or More Employees e-Filing

Use these forms to file the Affordable Care Act for 50 or more employees if you will be e-Filing.

ACA reporting is mandatory for the calendar year and is the responsibility of the employer.

1095-C Employer Provided Health - (landscape style) You may print a copy of this form as a hardcopy of your records if you like.  You may mail a copy of this form to each recipient or you may opt to send them the portrait style form described below (Full Page Recipient Form) Note: This Employer Provided Health form is NOT formatted to fit in a double window envelope.

1095-CCON05 Continuation Page -  (landscape style) Used for individual employees that need more than 6 covered individuals listed on their form. 

1095-C Full Page Recipient Form - B95CFPREC05 - (portrait style) You may use this page to mail to the recipients if not using the landscape style form described above.  You may print a copy of this form as a hardcopy for your records if you like.  If you opt to send this portrait style form, mail it in envelope 95DWENV05/DWENVS05.  Instructions are on the back of the form.

Three 1094-C Transmittal Forms (three copies of all three forms) are included with any order of 1095-C forms -- order additional transmittal forms if three is not enough.

 



Priced by the sheet. We are currently shipping 2024 forms. Image may reflect prior years.

ACA 50 Plus Employees e-Filing
1095-C Employer Provided Health B1095C 
1095-C Full Page Recipient Form B95CFPREC05 
Continuation Page B1095CCON 
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$13.50 0% $0.5400
$18.90 30% $0.3780
$32.40 40% $0.3240
$59.40 45% $0.2970
$108.00 50% $0.2700
$114.75 57.5% $0.2295
$141.75 65% $0.1890
$159.30 70.5% $0.1593
$214.65 73.5% $0.1431
$337.50 75% $0.1350
$607.50 77.5% $0.1215
$1,134.00 79% $0.1134


This product has quantity discounts

Use envelope 95DWENV05/95DWENVS05 with the portrait style recipient form.
B95CFPREC05


Preprinted 1095-C Full Page Form with Instructions
Use this preprinted laser form to protect form 1095-C. Perforated 5 1/2"

Sold by the sheet.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$13.80 0% $0.5520
$19.32 30% $0.3864
$33.12 40% $0.3312
$60.72 45% $0.3036
$110.40 50% $0.2760
$117.30 57.5% $0.2346
$144.90 65% $0.1932
$162.80 70.5% $0.1628
$219.45 73.5% $0.1463
$345.00 75% $0.1380
$621.00 77.5% $0.1242
$1,159.00 79% $0.1159


This product has quantity discounts

Use envelope 95DWENV05/95DWENVS05
B95CPERFI05


Blank 1095-C Full Page Form with Instructions on the Back
Use this blank laser form to print Form 1095-C; folding perforation at 5 1/2"
Perforation is not meant to be torn. Order one sheet per employee.

Priced by the sheet. We are currently shipping 2024 forms. Images may reflect prior years.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$13.80 0% $0.5520
$19.32 30% $0.3864
$33.12 40% $0.3312
$60.72 45% $0.3036
$110.40 50% $0.2760
$117.30 57.5% $0.2346
$144.90 65% $0.1932
$162.80 70.5% $0.1628
$219.45 73.5% $0.1463
$345.00 75% $0.1380
$621.00 77.5% $0.1242
$1,159.00 79% $0.1159


This product has quantity discounts

Use envelope 95DWENV05/95DWENVS05
1095-B


ACA Forms Health Coverage for Self Insured Employers With Less Than 50 Employees - Paper Filing

Use these forms to file the Affordable Care Act Health Coverage for Self Insured Employers with less than 50 employees if you are reporting with paper forms.

Who is a self insured employer?   Self-insured employers, also known as “self-funded”, control what is covered through a customized plan.  The employer has liability for all claims and pays for each claim.

ACA reporting is mandatory for the calendar year 2015 and is the responsibility of the employer.

1094-B Transmittal Form (landscape style) to be used with Form 1095-B and mailed to the IRS.

1095-B Full Page Recipient Form (portrait style) to be mailed to recipients. See info on landscape style recipient form in next paragraph.  Instructions are on the back of the form.

1095-B Health Coverage Form (landscape style) mail to IRS with 1094-B Transmittal.  You may opt to send a copy of this form to the recipients instead of the portrait style form.  The Health Coverage Form is not formatted so that it will fit in a double window envelope.  You may also wish to order a copy of this form to file for your records. You may need to order 3 sets of this form (for IRS, for recipient, for your file).

1095-B Continuation Page (landscape style) Used if an individual employee needs more than 6 covered individuals listed on their form.

Three 1094-B transmittal forms are included with any order of 1095-B forms --  order additional transmittal forms if three is not enough.


 



Priced by the sheet. We are currently shipping 2024 forms. Image may reflect prior years.

ACA Forms Less Than 50 Employees - Paper filing
1094-B Transmittal of Health Coverage (Landscape) B1094B05 
1095-B a Health Coverage - (Landscape) B1095B05 
1095-B Continuation Form (Landscape) B1095BCON05 
1095-B Full Page Recipient Form (Portrait) B95BFPREC05 
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$13.50 0% $0.5400
$18.90 30% $0.3780
$32.40 40% $0.3240
$59.40 45% $0.2970
$108.00 50% $0.2700
$114.75 57.5% $0.2295
$141.75 65% $0.1890
$159.30 70.5% $0.1593
$214.65 73.5% $0.1431
$337.50 75% $0.1350
$607.50 77.5% $0.1215
$1,134.00 79% $0.1134


This product has quantity discounts

Use envelope 95DWENV05/95DWENVS05 for portrait style recipient form.
95DWENV05/95DWENVS05


1095 Double Window Envelope

Use this envelope for the portrait style recipient forms of the Affordable Care Act. 

The landscape style forms do not have a companion envelope.

The security tint and cellophane windows ensure privacy of your information.  This envelope is constructed of 24# envelope stock.

 




ENVELOPE SEALING
GUMMED 
SELF SEALING + $0.05 
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$5.70 0% $0.2280
$96.90 15% $0.1938
$282.15 17.5% $0.1881
$456.00 20% $0.1824
$883.50 22.5% $0.1767
$1,282.50 25% $0.1710
$1,596.00 30% $0.1596
$1,852.50 35% $0.1482
$2,052.00 40% $0.1368


This product has quantity discounts

B95BFPREC05


Affordable Care Act (ACA) Recipient Form (Portrait Style) Self-Insured Employer <50 Employees
Use this pre-printed laser form for printing form 1095-B. Folding perforation at 5 ˝.  Full page form with instructions printed on the back.  A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees. 
Order one sheet per employee. 


Priced by the sheet. We are currently shipping 2024 forms
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$13.50 0% $0.5400
$18.90 30% $0.3780
$32.40 40% $0.3240
$59.40 45% $0.2970
$108.00 50% $0.2700
$114.75 57.5% $0.2295
$141.75 65% $0.1890
$159.30 70.5% $0.1593
$214.65 73.5% $0.1431
$337.50 75% $0.1350
$607.50 77.5% $0.1215
$1,134.00 79% $0.1134


This product has quantity discounts

Use envelope 95DWENV05/95DWENVS05 with the portrait style recipient form.
1094-B


1094-B Transmittal Form (Landscape Style)
1094-B transmittal form to be used with Form 1095-B and mailed to the IRS.

Priced by the sheet. We are currently shipping 2024 forms. Images may reflect prior years.
Pricing
Available in increments of 25
Quantity
 Total Percent Off Per Unit
$13.80 0% $0.5520
$19.32 30% $0.3864
$33.12 40% $0.3312
$60.72 45% $0.3036
$110.40 50% $0.2760
$117.30 57.5% $0.2346
$144.90 65% $0.1932
$162.80 70.5% $0.1628
$219.45 73.5% $0.1463
$345.00 75% $0.1380
$621.00 77.5% $0.1242
$1,159.00 79% $0.1159


This product has quantity discounts

Use with Form 1095-B
B95BLANK


1095-B or 1095-C Blank Paper
Can be used for both 1095-B or 1095-C. This is a blank paper front and back. NO INSTRUCTIONS are included. Folding; perforated in the center.  Perforation is not meant to be torn.

Priced by the sheet. Se are currently shipping 2024 forms. Images may reflect prior years.
Pricing
Available in increments of 100
Quantity
 Total Percent Off Per Unit
$33.12 40% $0.3312
$60.72 45% $0.3036
$110.40 50% $0.2760
$117.30 57.5% $0.2346
$154.56 65% $0.1932
$162.80 70.5% $0.1628
$219.45 73.5% $0.1463
$345.00 75% $0.1380
$621.00 77.5% $0.1242
$1,159.00 79% $0.1159


This product has quantity discounts

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