Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. 1 filing per sheet; packaged 500 forms per carton. Typically used by payroll companies and smaller companies with self-funded insurance plans. Paper filing due date: to IRS by February 28 / to recipient by January 31. Compatible with laser or inkjet printers.
SIZE: 8 1/2 x 11"