Stay compliant and confident this filing season with TF5095 2025 Laser ACA 1095B Health Coverage (8 1/2″ x 11″) from 5Forms!
Designed to meet Affordable Care Act (ACA) reporting requirements, this form is used by insurance carriers, payroll companies, and smaller employers with self-funded plans (fewer than 50 FTEs) to report which months employees and their families were covered.
✔ 2-sided form with crisp black ink imprint
✔ Compatible with laser and inkjet printers
✔ Packaged in quantities of 100
✔ Order for total copies needed (ex. 50 employees = order 150 copies)
✔ Meets ACA reporting requirements
✔ Higher quantities available at discounted prices
✔ Starting at just $24.04
(For Pressure Seal, see TF5506. For IRS landscape copy, use TF5096L.)
🚨 IMPORTANT REMINDER
Tax forms must be mailed to a physical address.
P.O. Boxes cannot be accepted.
When you choose 5Forms LLC, you’re choosing a friendly company that carries all the printed products your business needs — while still offering low prices and exceptional customer service.
✨ Free UPS Ground Shipping on orders over $75 within the contiguous U.S.
(Shipping fees apply for Alaska, Islands, and Canada)
✅ 100% Satisfaction Guarantee for 90 days
Backed by the strongest guarantees in the industry.
Have questions? Place your order with a Customer Service Agent by calling 1-855-536-7675. Our customer service team is available Mon–Fri, 9am–5pm EST and ready to help.
📦 Order online here – TF5095 2025 Laser ACA 1095B Health Coverage 8 1/2 x 11″
Order now and simplify your ACA reporting with 5Forms — quality, value, and service you can trust!