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EIT Benefit Funds fax number

(312) 782-0799

Disability Department

Used for: Submit Short-Term Disability/Long-Term Disability claim materials (Disability Application) to EIT Benefit Funds; the fund administrator coordinates with CorVel for disability certification and may request supporting HIPAA authorizations and related forms.

Fax destination details

Department
Disability Department
Purpose
Submit Short-Term Disability/Long-Term Disability claim materials (Disability Application) to EIT Benefit Funds; the fund administrator coordinates with CorVel for disability certification and may request supporting HIPAA authorizations and related forms.
Form
Disability Application (STD/LTD) — Disability Application for Short-Term Disability and Long-Term Disability
Address
6195 West 115th Street, Alsip, IL 60803

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Complete the Disability Application (STD/LTD) and any HIPAA authorization, then return to EIT Benefit Funds. The Fund Office will forward the claim to CorVel for certification; additional forms (e.g., Direct Deposit) may be requested.

Official form instructions are published as a downloadable file on the organization's website.

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