Forms

Anthem Out-of-Network Claims Reimbursement
Beneficiary Designation
Eyemed Out-of-Network Provider Reimbursement
OptumRx Prescription Drug Claim Form

Updating Your Contact Information

Contact the Fund Office if you have a change in your home address, phone number, or email:

  • contact@ufcwnewenglandhealthfund.com
  • 860-470-8551
  • 888-705-1092 (toll-free)
  • UFCW New England Health Fund
    290 Post Road West
    P.O. Box 5160
    Westport, CT 06880-9917

Questions?

Contact the Fund Office for questions about benefits eligibility, enrollment, and coverage:

  • contact@ufcwnewenglandhealthfund.com
  • 860-470-8551
  • 888-705-1092 (toll-free)