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

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.
Form #GID-385-LH (EXHIBIT-A) LH-T1 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2015
Title: Health Insurance Rate Filing Transmittal Form
Health Insurance Rate Filing Transmittal Form This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:517-SID:803-FN:GID-385-LH.pdf

Form #LH-T1/Appendix This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2015
Title: Health Insurance Rate FilingTransmittal Form Appendix
Health Insurance Rate FilingTransmittal Form Appendix
PID:1121-SID:2916-FN:LH-T1 Appendix.pdf

Form #LH-TI-INST This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2014
Title: Health Insurance Rate Filing Transmittal Form Instructions
Health Insurance Rate Filing Transmittal Form Instructions
PID:245-SID:804-FN:LH-TI-INST.pdf

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