Insurance

The 2025 Form 1095s will be prepared soon and physical copies available upon request.  The Form 1095s provide information about offers of coverage made to full-time employees as well as coverage information for those who enrolled in Yuma Union High School District’s group health plan. To request a copy of your Form 1095 or for further information about Form 1095s, you can reach out to Tatianna Lerma via tlerma@yumaunion.org, 3150 S. Avenue A, Building A Yuma, AZ 85364, 928-502-4627.

You will find all of the information you will need for your insurance needs here:

• Federal Annual Notices

• YUHSD Base Plan SBC
• YUHSD Buy-Up Plan SBC
• YUHSD Mexico Coverage SBC
• BCBSAZ / Find a Doctor
• Beneficiary Designation/Change Form
• COBRA Rates
• Dental Benefits 
• Employee Assistance Program (EAP)
• FLEX Claim Form 
• FLEX Enrollment Form 
• Flexible Spending Benefits 
• Health Card Sample
• Insurance Costs 
• Insurance Enrollment Form
• Mexico Coverage Pamphlet | Spanish Pamphlet
• Notice of Privacy
• On-Line Access to Summit 
• OTC / Zero Co-Pay 
• Retiree Enrollment Form 
• Retiree Insurance Costs 
• RX Mail Order Form 
• Teladoc 
• Voluntary Life Insurance Details
• Voluntary Life Insurance Form 
• Voluntary Vision Expense Benefit 
• Win/Win 
• YUHSD CONTACT INFORMATION

Please direct any questions to Steve Meinhardt at Yuma Insurance. Thank you.