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ACA Employer Provided Health Insurance 50 or More Employees e-Filing
Affordable Care Act (ACA) Employer Provided Health Insurance 50 or More Employees e-Filing.
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| | 1095-C |
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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.
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Priced by the sheet. We are currently shipping 2024 forms. Image may reflect prior years. |
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Use envelope 95DWENV05/95DWENVS05 with the portrait style recipient form.
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Please review these other products:
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ACA, Affordable Care Act, 50 plus, 50 or more, 1095, 1095C,1095c, 1095-c, Obamacare, Obama Care
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We verify orders.
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In addition to standard credit card verification procedures which insure the credit card is not stolen, we also verify the computer IP address, phone numbers, etc., to ensure the person placing the order is not doing so for fraudulent purposes. We work with all applicable agencies to prevent and/or report fraudulent or suspicious activity.
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