Print, Mail, & eFile 1095 Forms Online

eFileMyForms offers three main services for you to choose from:

1. eDelivery, Print, and eFile (Electronic Delivery and Electronic Filing)
2. Print, Mail and eFile (Printing, Mailing, and Electronic Filing)
3. eFiling Only (Electronic Filing Only)

eFileMyForms also offers ACA State Filing services for Eligible States!

• $500 per Eligible State & $0.15 per Eligible Record

In the chart below, "Filings per Order" represent the number of forms filed in a single order (filing volume does not accumulate across multiple orders).

Prices shown are per form filed by service. State Filing is an optional service that can be included to any ACA order. There is a separate price tier for 1099/W-2 & 1042-S forms.

Form 1095-B & 1095-C (1094's are FREE!)°
Forms per Order	eDelivery/Print & eFile Print, Mail & eFile	eFile Only	ACA State Filing*
1-50	$3.99 ea.	$3.49 ea.	+$0.15 ea.*
51-99	$3.75 ea.	$2.88 ea.	+$0.15 ea.*
100-249	$3.50 ea.	$1.86 ea.	+$0.15 ea.*
250-499	$2.99 ea.	$1.28 ea.	+$0.15 ea.*
500-999	$2.50 ea.	$0.87 ea.	+$0.15 ea.*
1,000-2,499	$2.07 ea.	$0.53 ea.	+$0.15 ea.*
2,500-4,999	$1.78 ea.	$0.36 ea.	+$0.15 ea.*
5,000-7,499	$1.63 ea.	$0.29 ea.	+$0.15 ea.*
7,500-9,999	$1.53 ea.	$0.25 ea.	+$0.15 ea.*
10,000-14,999	$1.41 ea.	$0.20 ea.	+$0.15 ea.*
15,000-19,999	$1.32 ea.	$0.17 ea.	+$0.15 ea.*
20,000-24,999	$1.26 ea.	$0.15 ea.	+$0.15 ea.*
25,000-29,999	$1.21 ea.	$0.14 ea.	+$0.15 ea.*
30,000-34,999	$1.17 ea.	$0.13 ea.	+$0.15 ea.*
35,000-39,999	$1.14 ea.	$0.12 ea.	+$0.15 ea.*
40,000-44,999	$1.11 ea.	$0.11 ea.	+$0.15 ea.*
45,000+	$1.09 ea.	$0.10 ea.	+$0.15 ea.*
*State Filing is only available for Eligible States. There is an additional charge of $500 per State & $0.15 per record for each tax year.
°All ACA customers have a one-time, $99, setup fee charged to the first order of the tax year. No charge is assessed unless an order is placed.

We offer tiered pricing for our services, that is, the more forms/filings you submit in a single order, the less expensive each filing will be.

The table above displays pricing for our 1095-B & 1095-C ACA (Affordable Care Act) forms. In addition to the cost per form, there is a $99 yearly subscription fee that is charged when you complete your first order for each tax season.

Following are some examples of our pricing assuming the service selected is the same for all forms:

• You file 99 1095-B forms and 156 1095-C's with the "Print,Mail & eFile" service in a SINGLE order. This is your first ACA order of the tax season so you are charged a $99 one-time account setup fee - when your order is placed. You have a total of 255 forms in a single print, mail, & eFile order so you would be charged $2.99 per form/filing for a total of $762.45 for the forms plus $99 for your yearly subscription, giving you a grand total of $861.45.
  
  
• You file 51 1095-B forms and 99 1095-C's in 2 separate orders. You have a total of 150 forms. However, because the forms were placed in two separate orders, each order would fall into "51-99" volume price-tier so you would be charged $3.75 per form/filing in each order. Assuming you had not done an ACA form order for this tax season before, your first order would be charged the $99 yearly subscription fee but your second order would not since it was already covered in the first order
  
  
• You file 200 1095-B forms with the "Print,Mail & eFile" service and 500 1095-C forms with the "eFiling Only" service in a single order. For this order you would be charged $3.50 per form/filing for the 200 forms being "Print,Mail & eFile" and $0.87 per form/filing for the 500 forms with "eFiling Only". For this example we'll assume you've already created an ACA form order for the tax season so you would not be charged a yearly subscription fee.
  
  

°Pricing subject to change.