Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. One page with backer information per form; packaged in quantities of 100. Paper filing due date: to IRS by February 28 / to recipient by January 31. Compatible with laser or inkjet printers. Typically used by payroll companies and Applicable Large Employers (ALEs) with 50+ employees.
SIZE: 8 1/2 x 11"