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Southwest Service Administrators, Inc. fax number

(602) 324-0553

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Disability Forms / Health Care Plan Administration (UPS Western Region Health Care Plan)

Used for: Submitting disability claim forms for the UPS Western Region Health Care Plan; used as the disability form fax line

Fax destination details

Department
Disability Forms / Health Care Plan Administration (UPS Western Region Health Care Plan)
Purpose
Submitting disability claim forms for the UPS Western Region Health Care Plan; used as the disability form fax line
Form
TWR Short Term Disability Claim Form 2 — TWR Short Term Disability Claim Form 2
Address
Southwest Service Administrators, Inc., P.O. Box 43110, Phoenix, AZ 85080-3110
Voice phone
855-215-2039

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Employer/HR completes Part B, Employee completes Part A, Physician completes Part C; submit the disability form by fax to 602-324-0553 or by mail to the SSAI service center

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