Affordable Care Act Form Templates

Use this document, otherwise known as the IRS Health Coverage Form, for submitting a report to the Internal Revenue Service (IRS) and to taxpayers about individuals with minimum essential coverage who are not liable for the individual shared responsibility payment.

This form is filed by employers with 50 or more full-time employees in order to provide information about their enrollment in health coverage required under sections 6055 and 6056 of the Internal Revenue Code.

This is an IRS legal document completed by individuals who need to figure out the amount of their Premium Tax Credit and reconcile it with the Advanced Premium Tax Credit (APTC) payments made throughout the reporting year.

This form is used for applying for state-funded assistance in Rhode Island to help pay for health care coverage.

Download these cover sheets in order to report a summary about the Applicable Large Employer (ALE) and to transmit Form 1095-C, Employer-Provided Health Insurance Offer and Coverage to the Internal Revenue Service (IRS).

This form is used for individuals in Pennsylvania to register as an exchange assister.

This document is used for applying for health coverage and financial assistance in Washington, D.C. It helps individuals and families access affordable healthcare options and determine if they qualify for financial help.

This document outlines the reporting requirements for businesses that are considered "applicable large employers" under the Affordable Care Act. It explains the information that these employers need to provide to the government regarding their health insurance coverage for employees.

This document describes the process of repealing and replacing health-related tax policy in the United States. It provides information on changes to tax laws that impact healthcare and how they are being replaced with new policies.

This form is also known as the healthcare marketplace tax form. It is used to inform the IRS about individuals and families enrolled in a health plan via the Health Insurance Marketplace.

This document is used for requesting treatment as an assistance eligible individual.

This Form is used for applying for health coverage and assistance with costs in Missouri.

This Form is used for reporting health coverage exemptions and calculating the individual shared responsibility penalty in California.