Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Paper filing due date: to IRS by February 28 / to recipient by January 31. Continuation form is used in addition to 1095B when an employee has more than 6 dependents. Compatible with laser or inkjet printers. 1 filing per sheet; shrinkwrapped in packs of 25.
SIZE: 8 1/2 x 11"
