UPS/IBT PENSION - DIRECT DEPOSIT
06/20/2018 - 0.22MB

TEAMCARE - PREDETERMINATION OF BENEFITS FORM
06/20/2018 - 1.38MB
SUBMIT THIS FORM AHEAD OF TIME TO DETERMINE IF YOUR MEDICAL PROCEDURE WILL BE COVERED BY TEAMCARE.

TEAMCARE - INITIAL SHORT TERM DISABILITY
06/19/2018 - 0.31MB
USE THIS FORM TO INITIATE YOUR SHORT TERM DISABILITY BENEFITS.

TEAMCARE - CONTINUATION OF SHORT TERM DISABILITY
06/19/2018 - 0.10MB
USE THIS FORM TO CONTINUE YOUR SHORT TERM DISABILITY BENEFITS.

TEAMCARE - APPEALS FORM
06/19/2018 - 0.04MB
IF YOU ARE NOT SATISFIED WITH TEAMCARE'S DECISION ON A CLAIM, SUBMIT THIS FORM TO REQUEST A REVIEW.

CENTRAL STATES PENSION - DIRECT DEPOSIT
06/20/2018 - 0.11MB

BLUE CROSS/BLUE SHIELD - CLAIM FORM
06/20/2018 - 0.06MB

ADDRESS CHANGE FORM
10/05/2017 - 0.06MB
TO UPDATE YOUR ADDRESS, CALL US (806) 373-4349 AT OR FILL OUT AND RETURN THE ATTACHED FORM TO OUR OFFICE.