To submit a claim, you will need to print, complete, and return one of the following claim forms:
Claim Form - Recurring Insurance Premium payment
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 firstname.lastname@example.org
- By logging in at www.uswbenefitfunds.com and uploading to our secure server
- By mailing to the USW HRA Fund, 1101 Kermit Dr., Suite 800, Nashville, TN 37217
- By faxing to 615-333-5797
*If you want information about a denied claim, login to your HRA account.
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