Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with U.A. Local 290 Plumber, Steamfitter & Shipfitter Industry Health & Welfare Trust before sending sensitive documents. FaxFlow is not affiliated with this organization.

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U.A. Local 290 Plumber, Steamfitter & Shipfitter Industry Health & Welfare Trust fax number

(971) 239-0671

Health & Welfare Trust / Benefits Administration

Used for: Submit weekly disability claim forms and health information releases to the Trust; the Trust administers health and welfare benefits including weekly disability claims.

Fax destination details

Department
Health & Welfare Trust / Benefits Administration
Purpose
Submit weekly disability claim forms and health information releases to the Trust; the Trust administers health and welfare benefits including weekly disability claims.
Form
Authorization for Disclosure of Health Information — Authorization for Disclosure of Health Information
Address
12205 SW Tualatin Rd., Suite 200, Tualatin, OR 97062
Voice phone
503-486-2104

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.

Instructions for completing and submitting the authorization are included in the Weekly Disability package; the package also covers COVID-19 claim instructions.

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

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