Laser 1095B ACA IRS Copy Continuation Sheet

Benefits and Features

Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan.

• Continuation form is used in addition to 1095B,

  when an employee has more than 6 dependents.

• Report to IRS

  in mandated landscape format.

• 1 Filing per sheet.

  Shrinkwrapped in packs of 25.

• Paper Filing Due Date:

  To IRS, February 28 // To Recipient January 31

• Compatible with laser

  or inkjet printers.