Home
Forms Library
Coastwise claims office

Get the up-to-date ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental 2025 now

coastwise claims office Preview on Page 1

Show details

4.7 out of 5

38 votes

The document is a claim form for the ILWU-PMA Coastwise Indemnity Plan, designed for retirees, their dependents, or survivors enrolled in Medicare. It outlines the necessary steps to file a claim for supplemental hospital, medical, and surgical benefits, including sections for patient identification, explanation of coverage, and physician's statement. The form requires information about other insurance coverage and any accidents related to the patient's condition.

Here's how it works

01. Edit your coastwise claims office online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send ilwu coastwise claims office via email, link, or fax. You can also download it, export it or print it out.

How to modify ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our extensive and intuitive PDF editor is simple. Follow the instructions below to fill out ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental online easily and quickly:

Log in to your account. Sign up with your credentials or create a free account to test the service before choosing the subscription.
Import a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental. Easily add and highlight text, insert pictures, checkmarks, and icons, drop new fillable fields, and rearrange or delete pages from your paperwork.
Get the ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to promptly manage your paperwork online!

See more ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental versions

We've got more versions of the ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental form. Select the right ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2020	4.7 Satisfied (38 Votes)
2013	4 Satisfied (41 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the ILWU PMA indemnity plan?

The ILWU-PMA Coastwise Indemnity Plan is a self-funded indemnity plan, which allows you to obtain services from any licensed doctor or hospital. Benefits are paid ing to a Schedule of Allowances under Basic Benefits and under Major Medical.

Does ILWU have a pension plan?

Pension Plan benefits programs are available for eligible retired ILWU members and their qualified dependents and survivors. For eligibility verification and specific information about qualifying for eligibility please contact the Benefit Plans main office or your Area Welfare Director.

What is the contract between PMA and ILWU?

ILWU members voted 75% in favor of ratifying the agreement, which is set to last until July 1st, 2028. The new contract includes a 32% pay raise over the six years of the contract and includes a one-time bonus to those who worked in the early days of COVID.

Where do I mail my Coastwise claims?

I authorize any physician, medical institution druggist, insurance company, employer, labor union, or association to release information to ILWU-PMA COASTWISE CLAIMS OFFICE (PO Box 429101, San Francisco, CA 94142) as is required to properly pay all benefits, if any due for this claim.

What is PMA payroll?

Payroll Management Assistance is a locally owned payroll company providing service throughout the country. We work directly with our clients to assure that the payroll process is catered to their specific needs.

ilwu pma coastwise claims mailing address

Ilwu pma coastwise indemnity plan medicare supplemental form ILWU-PMA Coastwise provider portal Ilwu pma coastwise indemnity plan medicare supplemental phone Ilwu pma coastwise indemnity plan medicare supplemental qui ilwu-pma coastwise eligibility ilwu-pma coastwise provider phone number ilwu-pma coastwise indemnity plan claims address ilwu-pma coastwise claims

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

What is the full form of Ilwu-PMA?

We operate under the direction of the joint Trustees representing the International Longshore and Warehouse Union (ILWU) and the Pacific Maritime Association (PMA).

What is the full form of ILWU?

The International Longshore and Warehouse Union (ILWU) is a labor union which primarily represents dock workers on the West Coast of the United States, and was established in 1937.

Get the up-to-date ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental 2025 now

Here's how it works

How to modify ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental in PDF format online

See more ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental versions

Complete this form in 5 minutes or less

Got questions?

What is the ILWU PMA indemnity plan?

Does ILWU have a pension plan?

What is the contract between PMA and ILWU?

Where do I mail my Coastwise claims?

What is PMA payroll?

Complete this form in 5 minutes or less

People also ask

What is the full form of Ilwu-PMA?

What is the full form of ILWU?

ilwu pma coastwise claims office

Try more PDF tools