ACA-Track™

Employer ACA Compliance & Reporting Solution

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ACA-Track Partner Co-Branding Order Form

Are you an ACA-Track Partner? Fill out the ACA-Track Partner Co-Branding Order Form for co-branded marketing & implementation items.

Name
First Last
Phone
Partner Company Name
Requested Co-branded Marketing Items
- ACA-Track Partner Sell Sheet
- Why Choose ACA-Track
- ACA-Track™ Informational Tri-fold Brochure (Commercial Printing)
- ACA-Track™ Informational Tri-fold Brochure (Desktop Printer Version)
- ACA-Track Employee Notification Services w/Order Form
- ACA-Track Reporting Only Services w/Order Form
- ACA-Track Reference Guide
check all that apply
Requested Co-branded Implementation Items
- ACA-Track Initial Set Up Data Sheet
- ACA Data Dictionary and Standards
- ACA-Track Import Template Sample
- ACA-Track Data Import Template – Enterprise
- ACA-Track Data Import Template – Standard
- ACA-Track Import Template – Report Only
- ACA-Track User Manual
- ACA-Track Mobile User Guide
check all that apply
Please provide complete information you want to include:
Partner Company as it should appear on each document
First and Last Name of rep as it should appear on each document
First Last
Rep Email Address
Partner Company Web Address
Toll-Free
Local
Logo
Max. file size: 50 MB.
Please upload a full-color, hi-resolution jpg or vector based logo.

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303 N Hurstbourne Pkwy, Ste 110
Louisville KY 40222

Encouraging Words for the Day

A heart at peace gives life to the body, but envy rots the bones.

Proverbs 14:30

A gentle answer turns away wrath, but harsh words stir up anger

Proverbs 15:1

A cheerful heart is good medicine, but a crushed spirit dries up the bones.

Proverbs 17:22

Information provided by PSST, LLC concerning the Affordable Care Act is not legal advice and should not be treated as such. If you have questions about how the Affordable Care Act will affect you as an employer, please consult legal counsel.

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Encouraging Words for the Day