Laser 1094C Transmittal Employer Provided Health Ins

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA). A Summary Transmittal is required for submitting 1095C forms to the IRS.

• All 1095C submissions mailed to the IRS

  must be accompanied by a Summary Transmittal form 1095B.

• One transmittal

  equals 3 pages.

• Use with 1095C

  submissions only.

• Compatible with laser

  or inkjet printers.