Unit Administration Forms
- LGHIP Unit Changes Form (LG11)
- LGHIP Preauthorized Payment Service Agreement-Units (LG13)
- LGHIP Automatic Payments-COBRA (LG14)
- New Unit Participation Form (LG15)
- LGHIP Resolution Form (LG16)
- Medicare Part D Creditable Coverage Notice
- LGHIB Affordable Care Act Full-Time Employee Verification Form (LG23)
- LGHIB Listing of Elected Officials for a City or Town (LG28)
- LGHIB Listing of Elected Officials for a County Commission (LG29)
- Blue Cross Blue Shield Supply Order Form
