Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
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Health Rate Increase Filing Related Forms

ATTENTION: TO ALL NEW APPLICANTS - EFFECTIVE 1/1/2012. 
In accordance with state law, beginning January 1, 2012, the Office of Insurance and Safety Fire Commissioner will be changing its procedures regarding the verification of lawful presence of persons applying for all licenses, permits, registrations and certificates. Please click HERE for more information.

ATTENTION:
 We have NEW IMPORTANT payment procedures. Please view them HERE.
  

Health Rate Increase Filing Related Forms


Adobe pdf documentHealth Insurance Rate Increase Filing Transmittal Form (Page 1)(LH-T1-P1)
Adobe pdf documentHealth Insurance Rate Increase Filing Transmittal Form (Page 2)(LH-TI-P2)
Adobe pdf documentHealth Insurance Rate Informational Filing (LH-IF-P1)
Adobe pdf documentL&HPOL_LH-T1-P1
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