In a pot over medium heat, bring about 4 quarts salted water to a boil. Add macaroni and cook according to package directions for about 8 to 9 minutes or until firm to bite. Drain well and allow to cool completely.

In a pot, add chicken meat and enough water to cover. Bring the water to a boil, skimming scum that floats on top. Lower heat, cover, and simmer for about 15 to 20 minutes or until cooked through. Drain from the liquid, allow to completely cool and shred. Set aside.

Add carrots, ham, eggs, crushed pineapple including packing juice, cheese, sweet pickle relish, bell pepper, onions, mayonnaise, and sweetened condensed milk. Gently stir together until evenly distributed.

Season with salt and pepper to taste. Refrigerate for about 1 hour to cool completely and to allow flavors to meld.