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Teamsters Western Region & Local 177 Health Care Plan fax number

(602) 324-0555

Fund Office

Used for: Enrollment submission and changes for Teamsters Local 177 Health Care Plan; benefits processing communications

Fax destination details

Department
Fund Office
Purpose
Enrollment submission and changes for Teamsters Local 177 Health Care Plan; benefits processing communications
Form
Enrollment Form — Enrollment Form for Teamsters Western Region & Local 177 Health Care Plan
Address
P.O. Box 43110, Phoenix, AZ 85080-3110
Voice phone
855-215-2039

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.

Fill out completely in black ink, sign and date; attach required documents; submit to the Fund Office to have benefits paid and to update enrollment information.

Official form instructions are published as a downloadable file on the organization's website.

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