1095-B FORM Available by request

1095-B forms can be obtained by contacting the RSA Benefits Office and requesting one. Forms can be delivered in person, by mail, or electronically (with your permission). Please contact 951-653-8014 to make a request or if you have any questions regarding the forms. The forms will be provided no later than 30 days from the receipt of your request.

Plan year runs through December 2025

Current Plan Year: January 2025 - December 2025

Open enrollment begins October 1, 2025. During open enrollment, you can add or drop eligible dependents, change or add plans, and switch carriers.

Allowable Mid-Year/Life Event Changes:

  • Marriage
  • Divorce or Legal Separation
  • Birth or Adoption of Child
  • Legal Guardianship or Court Order
  • Death of Spouse or Child
  • Loss or Gain of Other Coverage

Manage your benefits online

Login to Plansource to manage your benefits:

  • Update your contact information
  • Update your beneficiaries
  • View your benefits and costs
  • View plan summaries
  • Make life event changes