Claim Forms
- 2021 Annual Participant Information Update form – Before any 2021 claims can be processed, you must complete this form and return it to the Trust Office.
- 2020 Annual Participant Information Update form – Before any 2020 claims can be processed, you must complete this form and return it to the Trust Office.
- Medical Claim Form – Use this form to submit claims for Medical Care. Be sure to fill it out completely and return it to the Trust Office.
- Subrogation Questionnaire – Use this form to help the Trust Fund determine eligibility for health claims.
- Subrogation and Assignment of Benefits Form – This form is used by the Trust Fund to pay health claims when a third party is ultimately liable for expenses.