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1095-B Forms - Full Sheet with Instructions on Back
ACA Form 1095-B for Health Coverage by Insurance Companies and Self-Insured Employers - Discount Tax Forms


 

ACA Form 1095-B for Other Software

Full-page 1095-B Form with Instructions on Back

Form 1095-B is used by self-insured employers and insurance companies to provide proof of health care coverage for employees and taxpayers.

This form is required for the 2015 tax year for insurance companies and self-insured employers with 50+ employees. Get details

It must be mailed to employees by January 31, 2016.

ACA Form 1095 - Affordable Care Act FormsYou will need 2 forms per employee: one for the IRS and one for the employee.

If e-filing, order 1 form for the employee only.

COMPATIBLE WITH Software from Greatland, Nelco, 1099-ETC, Accufund, Client Ledger System (FMSI), Shelby, World Sharp and Yearli Desktop.

It is a full page with instructions printed on the back.

Compatible with envelopes
#95DWENVS05 (self-seal)
#95DWENV05 (moisture seal)

Also use Form 1094-B transmittal to summarize 1095-B forms for the IRS.

Get answers to common questions in our FAQ on ACA Forms >


Product Code: B95BFPREC05

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Description
 

ACA Form 1095-B is used by self-insured employers and insurance companies to provide proof of health care coverage for employees.

COMPATIBLE WITH Software from Greatland, Nelco, 1099-ETC, Accufund, Client Ledger System (FMSI), Shelby, World Sharp and Yearli Desktop.

It is a full page with instructions printed on the back.

Compatible with envelopes
#95DWENVS05 (self-seal)
#95DWENV05 (moisture seal)

Use Form 1094-B transmittal to summarize information on 1095-B forms for the IRS.

You will need 2 forms per employee: one for the IRS and one for the employee.
If e-filing, order 1 form for the employee only.

Get answers to common questions in our FAQs for ACA Forms Guide >

Read our blog to learn more about ACA Forms and Requirements - 1099-W2.info.


Employer & Insurer Requirements

Not every business needs to file ACA forms in 2016. Yours must if you:

  • Have 50+ employees who are full-time or full-time equivalent
  • Are a self-insured employers regardless of size
  • Are a health insurance company

Full time employees are those who worked an average of 30+ hours per week for more than 120 days in 2015.

Use the HealthCare.gov FTE Employee Calculator for more information.


Get the full run-down on requirements for ACA Forms here >

Filing Deadlines

The same deadlines for 1099 forms and W-2 forms apply to the 1095 forms. For instance, 2015 tax year filing is required by:

  • Feb 1, 2016 for employee forms
  • Feb 29, 2016 for IRS reporting on paper forms
  • Mar 31, 2016 for IRS reporting via e-file

Penalties

For the 2015 tax year, incorrect filings will not be penalized as long as employers and insurers file on time and make a good-faith effort to comply. In the future, penalties can be as large as $250 per form and up to $3 Million for non-compliance.


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