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ILWU-PMA Benefit Plans fax number

(415) 749-1400

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

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  • 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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