You and your physician are required to complete the Short-Term Disability Claim Form.
Submit your completed form to the Health Benefits Department for review and processing via:
E-Mail: [email protected]
Fax: (312) 337-6496
Mail:
Ways to Submit Form
| Method | |
|---|---|
| [email protected] | |
| Fax | (312) 337-6496 |
| Mid-America Carpenters Regional Council Health Fund | |
| Attn: Disability Processing | |
| 12 E. Erie St, Chicago, IL 60611-2789 |