File a Claim:
- Once each year you must complete and submit
to your Local Fund Office an Annual Information Request form (AIR). The
AIR form contains information about you, your eligible family members and
other coverage they may have.
- When you receive care from a medical or
dental care provider, the provider should submit a bill for services to
the address on the back of your identification card. If the provider bills
you instead, send the bill to your Local Fund Office.
- It is not necessary to send the Fund Office
either the copy of the services received that you are given when you leave
the doctor's office (called a "super bill") or the statements
that you receive from a provider.
- You must have a completed AIR form on file
in the Fund Office each year. No claims can be paid
without an AIR form on file.
If you need an Annual
Information Request Form, click on your Local Fund Office link, then click on the Member Forms link. Click on the AirForm link. You can download the form fill it out and mail it to your Local Fund Office.
You will need Acrobat Reader to view the form. If you do not
have Acrobat Reader installed, click on the link below: