Personnel Support Services | Benefits | 2023 Benefits and Insurance

Personnel Support Services - Benefits

For general inquiries and assistance email:
Phone: (858) 521-2800 ext. 2897, FAX: 858-485-1355

Carin Freitas, Insurance Benefits Specialist, email:
Christine Gold, Insurance Benefits Technician, email:
Mackenzie Newman, Insurance Benefits Technician, email:

Health Care Information Forms (Forms 1095-A, 1095-B, and 1095-C)

Form 1095-A is the Health Insurance Marketplace Statement. The Health Insurance Marketplace, such as Covered California, sends this form to individuals who were enrolled in coverage during the plan year. The form includes information about  coverage, who was covered, and when the coverage was provided. According to the IRS, if you are expecting to receive a Form 1095-A, you should wait to file your income tax return until you receive it.
Form 1095-B is the Health Insurance Coverage Statement from the Insurance Carrier directly. If you are currently enrolled in a PUSD Anthem or Kaiser plan, you may have already received your 1095-B statement.  This is the carrier statement providing information about the coverage, who was covered, and when the coverage was provided.
Form 1095-C is the Employer Provided Health Insurance Offer and Coverage Statement. Employers send this information to certain group of employees, with information about what coverage the employer offered and the months in which coverage was offered. If eligible, you can expect to receive your 1095-C on or after the post mark date of March 2, 2023.
You do not need to wait for either the Form 1095-B from your insurance provider such as Anthem or Kaiser, or Form 1095-C from PUSD to file your individual income tax return. You can self-report coverage using other forms of documentation, in lieu of the Form 1095 information to prepare your tax return. Other forms of documentation that would provide proof of your insurance coverage for reporting purposes include:
  • insurance cards,
  • explanation of benefits
  • statements from your insurer,
  • W-2 or payroll statements reflecting health insurance deductions,
  • records of advance payments of the premium tax credit and
  • other statements indicating that you, or a member of your family, had health care coverage.
You will not need to submit proof of your health coverage to the IRS, however, you should keep any documentation with your other tax records. This includes records of your family’s employer-provided coverage, premiums paid, and type of coverage.

The Poway Unified School District (PUSD) is an equal opportunity employer/program and is committed to an active Nondiscrimination Program. PUSD prohibits discrimination, harassment, intimidation, and bullying based on actual or perceived race, color, ancestry, national origin, nationality, immigration status, ethnicity, ethnic group identification, age, religion, marital or parental status, physical or mental disability, sex, sexual orientation, gender, gender identity, or gender expression or association with a person or a group with one or more of these actual or perceived characteristics. For more information, please contact: Title IX/Equity Compliance Officer, James Jimenez, Associate Superintendent of Personnel Support Services, Poway Unified School District, 15250 Avenue of Science, San Diego, CA 92128, 1-858-521-2800, extension 2121, For students, you may contact Title IX Coordinator/ 504 Coordinator Jamie Dayhoff, Director of Attendance and Discipline, Poway Unified School District, 1-858-521-2840,

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POWAY UNIFIED SCHOOL DISTRICT | 15250 Avenue of Science, San Diego, CA 92128 | (858) 521-2800