Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Southwest Service Administrators, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Southwest Service Administrators, Inc. fax number
(602) 324-0553
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
- 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.
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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