Teamsters Local 191 Health Services and Insurance Plan
Trustees
Robert Flynn Anthony Cappella
Edwin Rooney Forrest Harvey
1139 Fairfield Avenue
Bridgeport, CT 06605
Phone: 203-366-5849
Press #2 for Health services
Phone: 800-972-4099
Fax: 203-331-0348
Hours
Monday - Friday
8:00 a.m. - 4:30 p.m.
Please show your ID card to the health care provider
Your id starts with TSJ followed by 7 numbers.
Important information is located on back of card
Fill in forms to print and mail
The below forms are here for your convenience. Please contact your Local Fund office first when submitting a claim or providing information.
Medical Massage Reimbursement
Prescription
Reimbursement
Affidavits
Marital Status
Financial Responsibility
Residence Spouse as of a date
Residence Spouse
Residence Dependent
Paternity
Authorization to release PHI
Summary Plan Description
Directions to Health Services office
