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You are here: Home > ACA Forms - 1094 & 1095
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1095-C Employer Provided Health Insurance (B1095C05) 1095-C Employer Provided Health Insurance (B1095C05)
1095-B Health Coverage (B1095B05) 1095-B Health Coverage (B1095B05)
1095-B Health Coverage (B1095B05) 1095-B Health Coverage (B1095B05)
Preprinted 1095-B Half Page Form (B95BHPREC05) Preprinted 1095-B Half Page Form (B95BHPREC05)
Preprinted 1095-B Full Page Form w/Instructions (B95BFPREC05) Preprinted 1095-B Full Page Form w/Instructions (B95BFPREC05)
Blank 1095-B Full Page Form w/Instructions (B95BPERFI05) Blank 1095-B Full Page Form w/Instructions (B95BPERFI05)
1095-B Continuation Form (B1095BCON05) 1095-B Continuation Form (B1095BCON05)
Preprinted Pressure Seal EZ Fold 1095-C (81652) Preprinted Pressure Seal EZ Fold 1095-C (81652)
Blank Pressure Seal 14” EZ Fold 1095 (81650) Blank Pressure Seal 14” EZ Fold 1095 (81650)
Preprinted Pressure Seal 14” EZ Fold 1095-B (81651) Preprinted Pressure Seal 14” EZ Fold 1095-B (81651)
1094-C Employer Health Transmittal Kit (B1094CS05) 1094-C Employer Health Transmittal Kit (B1094CS05)
1095 Double Window Envelope Moisture Seal (95DWENV05) 1095 Double Window Envelope Moisture Seal (95DWENV05)
1095-C Continuation Form (B1095CCON05) 1095-C Continuation Form (B1095CCON05)
1094-C Employer Health Transmittal Page 1 (B1094C105) 1094-C Employer Health Transmittal Page 1 (B1094C105)
1094-C Employer Health Transmittal Page 2 (B1094C205) 1094-C Employer Health Transmittal Page 2 (B1094C205)
1094-C Employer Health Transmittal Page 3 (B1094C305) 1094-C Employer Health Transmittal Page 3 (B1094C305)
Preprinted 1095-C Full Page Form w/Instructions (B95CFPREC05) Preprinted 1095-C Full Page Form w/Instructions (B95CFPREC05)
Blank 1095-B or 1095-C w/ fold perf (B95BLANK) Blank 1095-B or 1095-C w/ fold perf (B95BLANK)
Preprinted 1095-C Half Page Form (B95CHPREC05) Preprinted 1095-C Half Page Form (B95CHPREC05)
Preprinted 1095-C Recipient Copy Blank Top (95CRCBT) Preprinted 1095-C Recipient Copy Blank Top (95CRCBT)
Preprinted 1095-C Recipient Continuation (95CRCCNP) Preprinted 1095-C Recipient Continuation (95CRCCNP)
Blank 1095-C Full Pg w/Instructions (B95CPERFI05) Blank 1095-C Full Pg w/Instructions (B95CPERFI05)
1095-C Forms - Pressure Seal 14" EZ Blank with instructions (PS95CISB) 1095-C Forms - Pressure Seal 14" EZ Blank with instructions (PS95CISB)
Pressure Seal 1095-C with instructions on back (PS95CMW) Pressure Seal 1095-C with instructions on back (PS95CMW)