Please complete the claim form, sign and mail it 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.
For a Health Screening Rider Claim, provide Trustmark with a copy of the bill, which contains your name, the name and address of the facility where test/procedure was performed, the specific test/procedure.
| 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 |
