ACA 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.

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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	$5.40	$4.65	$2.90
101 - 250	$4.75	$4.00	$2.85
251 - 500	$4.00	$3.25	$2.80
501 - 1000	$3.30	$2.60	$2.70
1001+	$2.95	$2.25	$2.60

Previous Year Filing: All previous year ACA prices are $5.40 per form, regardless of quantity and filing method. Note: ACA Transmittal Forms 1094-B are automatically filed with 1095-B at no additional charge.

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