Member Information Requests

The below online request forms are provided to help expedite your requests and accurately answer your questions. Please complete one of the below online forms and click on the "Submit" button to send it to a WEA Trust representative.

Request an Explanation of Benefits (EOB)

If you would like duplicate copies of an Explanation of Benefits (EOB), please complete the form below and click on the "Submit" button.

Member Name*

Member ID*

Member Date of Birth*

Email*

Clinic or Provider*

Date(s) of Service*

Billed Amount of Service*

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General Member Inquiries

Please complete the form below for questions such as claims and deductible statuses. Upon completion, click on the "Submit" button.

Member Name*

Member ID*

Member Date of Birth*

Callback Name*

Callback Phone #*

Email*

Clinic or Provider (if applicable)

Service Dates (if applicable)

Billed Amount of Service

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