Teamsters Local 493 Health Services and Insurance Plan

Trustees

Thomas Schlink                       Nicholas Reut

Bevan Sweet                             Jon Hendel

18 Crescent Street

Uncasville, CT 06382

Fund Manager

Susan Wentworth

Phone: 860-848-1259

Phone: 888-254-1039

Fax:      860-848-1940

 Hours

Monday - Friday

      8:00 a.m. - 4:00 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

Directions to Health Services office 

Authorization to release PHI 

Affidavits

Marital Status

Financial  Responsibility

Summary Plan Description

Business Meeting

Summary Annual Report

Residence Spouse as of a date

Residence Spouse 

Residence Dependent

Paternity

Please contact  Local 493 Health Services office for questions concerning eligibility,  benefits and claim payment.

Please review the Summary Plan Description for further information regarding your plan of benefits.