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Teamsters Local 191 Health Services and Insurance Plan
Trustees
Robert Digirolamo George Wiesendandanger
Edwin Rooney Forrest Harvey
1139 Fairfield Avenue
Bridgeport, CT 06605
Hours
Monday - Friday
8:00 a.m. - 4:30 p.m.
Phone: 203-366-5849
Press #2 for Health services
Phone: 800-972-4099
Fax: 203-331-0348
Please watch your USPS mail for important plan information
Please return your 2022 Annual Information Request form
Please show your ID card to the health care provider
Your id starts with TSJ followed by 7 numbers ending in BF
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
Covid 19 over the counter test kit Reimbursement
Directions to Health Services office
Affidavits
Marital Status
Financial Responsibility
Residence Spouse as of a date
Residence Spouse
Summary Plan Description
Summary Annual Report
Residence Dependent
Paternity
Authorization to release PHI
Please contact Health Services office for questions concerning eligibility, benefits and claim payment.
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