1095-B Health Coverage

Affordable Care Act Form 1095-B
1095-B forms are filed with the IRS and supplied to the insured by an insurance company or to the employee by a self-insured employer with fewer than 50 Full Time Equivalent employees. 

This official version of the form must be used for filing with the IRS.  For employees/insured our recipient copies can be easily folded and mailed in double window envelopes. 

If you are using the official version for both IRS and employee/insured, order 2 forms for each insured, if you are simply filing with the official version, order 1 form per employee/insured.

1095-B forms are summarized by a 1094-B transmittal.