Teamsters Local 671A  Health Services and Insurance Plan


                                                  Donald Shubert

Anthony Lepore                      Scott     Blais

22 Britton Drive
Bloomfield, CT 06002



Phone: 860-289-3409

Fax:      860-528-3658


Monday - Friday

      7:30 a.m. - 4:00 p.m.

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.


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



Authorization to release PHI 


Marital Status

Financial Responsibility

Directions to Health Services office 

Summary Plan Description

Business Meeting

Summary Annual Report

Residence Spouse as of a date

Residence Spouse 

Residence Dependent


Please contact  Health Services office for questions concerning eligibility,  benefits and claim payment.