To submit a claim, you will need to print, complete, and return one of the following claim forms:
You must attach supporting documentation for each expense such as an itemized bill from the provider or an Explanation of Benefits (EOB) from your insurance company.
You may submit the form to us one of three ways:
- By scanning and emailing the form and supporting documents to email@example.com
- By logging in at www.uswbenefitfunds.com and uploading to our secure server
- By mailing to the USW HRA Fund, 3320 Perimeter Hill Dr., Nashville, TN 37211
- By faxing to 615-333-5797
*If you want information about a denied claim, login to your HRA account.