• Once each year you must complete and submit to your Local Fund Office an Annual Information Request form (AIR). The AIR form contains information about you, your eligible family members and other coverage they may have.
• When you receive care from a medical or dental care provider, the provider should submit a bill for services to the address on the back of your identification card. If the provider bills you instead, send the bill to your Local Fund Office.
• It is not necessary to send the Fund Office either the copy of the services received that you are given when you leave the doctor's office (called a "super bill") or the statements that you receive from a provider.
• You must have a completed AIR form on file in the Fund Office each year. No claims can be paid without an AIR form on file.

If you need an Annual Information Request Form, you can
download the form fill it out and mail your AIR form to your
Local Fund Office.

*Notes*

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