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1094/1095 Forms

Please Note:  The IRS has not yet released the 2019 final version of the ACA forms (1094/1095).  It is currently estimated that the IRS will release the forms by mid-to-late November.  As soon as they do, we will update this description and the forms and ACA software will be eligible for purchase.  Thank you.


Use to report Affordable Care Act (ACA) information.  Please use the matrix below to determine the forms you need - you can click the hyperlinks to go directly to each form's product page.  Our Laser Link software is compatible with these forms.

  Description 1095-B Forms 1095-C Forms
  Form Name Health Coverage Employer-Provided Health Insurance
  Typical Filer Insurers & Small Self-Insured Companies Large Companies with more than 50 employees
  Forms & Envelopes Bundle 92636.5095E 92636.5096E
  Recipient/Employer Copy 92636.5095 92636.5096
  Recipient/Employer Continuation
  (employees with over 6 dependents)
92636.5095C 92636.5096C
  Recipient/Employer Blank Copy 92636.5097 92636.5097
  IRS Copy 92636.5095L 92636.5096L
  IRS Continuation
  (employees with over 6 dependents)
92636.5095N 92636.5096N
  1094 IRS Transmittal 92636.5400 92636.5500
  Software Compatibility Laser Link   or
ACA by ComplyRight
Laser Link   or 
ACA by ComplyRight
Item 92636.5095E, 1095-B, Health Coverage, Forms/Envelopes Bundle
1095-B, Health Coverage, Forms/Envelopes Bundle
Your Sale Price:
1095-B, Health Coverage, Forms/Envelopes Bundle
Use to report Health Coverage information as required by the Affordable Care Act (ACA). This convenient set includes all the forms and envelopes most employers need for hard-copy filing. For laser or inkjet printers.
Item 92636.5095, 1095-B, Health Coverage, Employer/Employee Copy
1095-B, Health Coverage, Employer/Employee Copy
Your Sale Price:
1095-B, Health Coverage, Employer/Employee Copy
Use to report Health Coverage information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5095L, 1095-B, Health Coverage, IRS Copy
1095-B, Health Coverage, IRS Copy
Your Sale Price:
1095-B, Health Coverage, IRS Copy
Use to report Health Coverage information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5095C, 1095-B, Health Coverage, Employer/Employee Continuation Copy
1095-B, Health Coverage, Employer/Employee Continuation Copy
Your Sale Price:
1095-B, Health Coverage, Employer/Employee Continuation Copy
Use to report Health Coverage information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5095N, 1095-B, Health Coverage, IRS Continuation Copy
1095-B, Health Coverage, IRS Continuation Copy
Your Sale Price:
1095-B, Health Coverage, IRS Continuation Copy
Use to report Health Coverage information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5400, 1094-B, IRS Transmittal for 1095-B Forms
1094-B, IRS Transmittal for 1095-B Forms
Your Sale Price:
1094-B, IRS Transmittal for 1095-B Forms
Use to report Health Coverage information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5096E, 1095-C, Employer-Provided Health Insurance, Forms/Envelopes Bundle
1095-C, Employer-Provided Health Insurance, Forms/Envelopes Bundle
Your Sale Price:
1095-C, Employer-Provided Health Insurance, Forms/Envelopes Bundle
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). This convenient set includes all the forms and envelopes most employers need for hard-copy filing.
Item 92636.5096, 1095-C, Employer-Provided Health Insurance, Employer/Employee Copy
1095-C, Employer-Provided Health Insurance, Employer/Employee Copy
Your Sale Price:
1095-C, Employer-Provided Health Insurance, Employer/Employee Copy
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5096L, 1095-C, Employer-Provided Health Insurance, IRS Copy
1095-C, Employer-Provided Health Insurance, IRS Copy
Your Sale Price:
1095-C, Employer-Provided Health Insurance, IRS Copy
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5096C, 1095-C, Employer-Provided Health Insurance, Employer/Employee Continuation Copy
1095-C, Employer-Provided Health Insurance, Employer/Employee Continuation Copy
Your Sale Price:
1095-C, Employer-Provided Health Insurance, Employer/Employee Continuation Copy
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5096N, 1095-C, Employer-Provided Health Insurance, IRS Continuation Copy
1095-C, Employer-Provided Health Insurance, IRS Continuation Copy
Your Sale Price:
1095-C, Employer-Provided Health Insurance, IRS Continuation Copy
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5500, 1094-C, IRS Transmittal for 1095-C Forms
1094-C, IRS Transmittal for 1095-C Forms
Your Sale Price:
1094-C, IRS Transmittal for 1095-C Forms
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
Item 92636.5097, 1095-B or 1095-C, Employee Copy, Blank
1095-B or 1095-C, Employee Copy, Blank
Your Sale Price:
1095-B or 1095-C, Employee Copy, Blank
Use to report Employer-Provided Health Insurance Offer and Coverage Insurance information as required by the Affordable Care Act (ACA). For laser or inkjet printers.
TF1403, ACA Software by ComplyRight
ACA Software by ComplyRight
Regular Price: $180.41
Your Sale Price: $144.32
ACA Software by ComplyRight
ACA Software from ComplyRight helps businesses comply with the new IRS regulations for health care plan reporting as required by the Affordable Care Act (ACA).