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Forms and Fees

1095-B
Health Coverage
Report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not the individual shared responsibility payment.
1095-B Correction
1095-C
1095-C Correction
1094-C
1094-C Correction
ACA Forms Options
  Print, Mail
& E-File
E-File
Only
Print & Mail Only
Forms/
Order
Price/
Form
Price/
Form
Price/
Form
1 - 100 $5.00 $4.50 $2.80
101 - 250 $4.25 $3.85 $2.75
251 - 500 $3.50 $3.15 $2.70
501 - 1000 $2.75 $2.50 $2.60
1001+ $2.25 $2.15 $2.50
Note: ACA Transmittal Forms 1094-B are automatically filed with 1095-B at no additional charge.
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