ACA 1095: Employer-Provided Health Insurance form
ACA 1095: Employer-Provided Health Insurance form will not automatically be sent to employees or retirees. Copies will be kept on file in the business office. If you need a copy of your 1095 form, please submit a request to:
Susan Robertson
PASD Administrative Offices
300 Center St.
Punxsutawney, PA 15767
Phone: 814-938-5151
Email: [email protected].