Member Enrollment
- 2026 LGHIP Enrollment Form (LG01)
- 2026 LGHIP Member Information Changes Form (LG02)
- 2026 LGHIP Cancellation Form (LG03)
- 2026 LGHIP Declination of Coverage Form (LG04)
- 2026 LGHIP New Dependent Form (LG05)
- 2026 LGHIP Dependent Cancellation Form (LG06)
- 2026 Automatic Payment Authorization Form (COBRA) (LG14)
- 2026 LGHIP Retiree Coverage Enrollment Form (LG22)
- 2026 LGHIP Retirement Years of Service Form (LG22-A)
- 2026 LGHIP ACA Verification Form (LG23)