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ILWU-PMA Benefit Plans fax number
(415) 749-1400
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Coastwise Claims Office
Used for: Annual Other Insurance Coverage Verification submission for dependents under the ILWU-PMA Coastwise Indemnity Plan; used to report other insurers and update coverage to ensure timely claims.
Fax destination details
- Department
- Coastwise Claims Office
- Purpose
- Annual Other Insurance Coverage Verification submission for dependents under the ILWU-PMA Coastwise Indemnity Plan; used to report other insurers and update coverage to ensure timely claims.
- Form
- Other Insurance Coverage Verification Form — ILWU-PMA Welfare Plan — Other Insurance Verification Form
- Address
- ILWU-PMA Benefit Plans, 1188 Franklin Street, Suite 101, San Francisco, CA 94109
- Voice phone
- (800) 955-7376
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete Parts A–C, including dependent information; indicate any other insurance; sign and date; return by the stated deadline; fax to 415-749-1400 or mail to ILWU-PMA Benefit Plans, 1188 Franklin Street, Suite 101, San Francisco, CA 94109.
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