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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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