Laser 1095-B ACA Health Coverage, IRS Copy

Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. This copy is for the Internal Reveune Service.

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

Paper filing due date: to IRS by February 28 / to recipient by January 31. ​

Unlike the standard TF5095, the TF5095L is in the landscape format. 

• Item #  TF5095L
• Size: 8 1/2 x 11"
• Packaged in quantities of 100.
• Tax Forms per Sheet: One filings per sheet in the IRS madated landscape format
• Printer Compalibility: Compatible with laser or inkjet printers
• Use to Report: Employees covered by your health plan.
• Meets all government and IRS filing requirements
• Typically used by payroll companies and smaller companies with self-funded insurance plans.