Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan.

Typically used by payroll companies and smaller companies with self-funded insurance plans. 

Bulk options provide 500 forms per carton!

These bulk forms allow you to meet your businesses needs! File your health insurance offer and coverage with these simple to use forms. 

For more information call us at 1-888-246-0635