Teamsters Local 404 Health Services and Insurance Plan
Frank A. Rossi Robert M. Sullivan, Jr.
Victor Santiago Larry Keefe
115 Progress Avenue
Springfield, MA 01104
Monday - Friday
8:30 a.m. - 4:30 p.m.
Please return your 2021 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.