Please complete, sign and mail the claim form to the address indicated on the form. If faxing your claim form to us, we ask that the original be sent via mail, as an original signature is required for handling. Our fax number appears in the upper left-hand corner of our claim forms for your convenience.
To submit a Wellness Benefit claim, all you need to provide Trustmark is a copy of the bill, which contains your name, the name and address of the facility where the service was done, the type of service performed and the date performed.
| Mail your proof to: | Attn: MAWORKSITE Trustmark Insurance Company 100 North Parkway Suite 200 Worcester MA 01605 |
| Or fax your information to: | 1-508-853-2867 |
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