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Southwest Service Administrators, Inc. fax number

(480) 302-2237

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Fund Office

Used for: Submitting enrollment information and other plan administration documents to the Fund Office for the Utah-Idaho Teamsters health and welfare funds (SSATPA).

Fax destination details

Department
Fund Office
Purpose
Submitting enrollment information and other plan administration documents to the Fund Office for the Utah-Idaho Teamsters health and welfare funds (SSATPA).
Form
Enrollment Form — Utah-Idaho Teamsters Enrollment Form
Address
P.O. Box 43110, Phoenix, AZ 85080-3110
Voice phone
(855) 292-7954

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This form must be completed fully upon entry into the plan and may be used to submit updated information. Send your completed form to the Fund Office now. You have 60 days to enroll from your eligibility date or 60 days from a life-changing event to make a change.

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