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How to use or fill out ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental with our platform
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Click ‘Get Form’ to open the ILWU-PMA COASTWISE INDEMNITY PLAN Medicare Supplemental in the editor.
Begin by filling out the Identification section. Enter your name, date of birth, local number, and registration number. If applicable, include your spouse’s name.
In the Explanation section, ensure you have the Medicare notice(s) ready as they must accompany your claim. Complete Part 1 and sign the Authorization in Part 10.
Answer questions regarding other insurance coverage and any accidents related to employment. Provide necessary details such as policy numbers and addresses if applicable.
Sign and date the form where indicated. If you wish for payments to be made directly to a provider, complete and sign the Optional Assignment in Part 11.
Finally, follow the filing instructions: mail your completed form along with any required documents to the ILWU-PMA COASTWISE CLAIMS OFFICE.
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What is the phone number for California Casualty Indemnity Exchange auto claims?
If you have a question thats not answered here please give us a call at 800.800. 9410.
What is the phone number for Coastwise indemnity plan?
For the latest Schedule of Allowances, contact your Local or the Benefit Plans office, or call the Claims Office at (415) 543-0114 or (800) 955-7376.
What does ilwu pma stand for?
The PMA is a member trade association. The Longshore Division of the International Longshore and Warehouse Union (ILWU) represents waterfront employees on the U.S. and Canadian Pacific Coast, Hawaii, and Alaska. Nearly 15,000 ILWU workers are employed at West Coast ports.
What is the Coastwise 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 according to a Schedule of Allowances under Basic Benefits and under Major Medical.
What is the phone number for benefit plan administrators provider?
Our Provider partners may log into the portal below to access patient, benefits, and claims information. If you have problems logging in, please contact 800.277. 8973 for assistance.
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What is the phone number for seafarers pension plan?
If you have any questions regarding your benefits, contact the Pension Department at (800) 252-4674 (Option 2) or pensions@seafarers.org.
What is a medicare supplement indemnity plan?
Medicare Supplement Insurance provides coverage for gaps in medical costs not covered by Medicare. Medicare Supplement plans are standardized and offer various benefits to help offset your healthcare cost.
What is the phone number for Central States Indemnity Medicare supplement provider?
If you have a policy issued prior to that date and have a service need, please contact the administrator at (855) 664-5517. Central States Indemnity Co.
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