Life Health Small Group Certification Forms
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| TDI form number | Description | Format | Language |
|---|---|---|---|
| LAHR330 |
Annual Small Employer Health Benefit Actuarial Certification 1212 Cert Actuarial - Small Employer Carrier Status Certification |
HTML | English |
| LAHR337 |
Annual Small Employer Health Benefit Plan Report 1212 Cert Actuarial - Large Employer Carrier Status Certification |
HTML | English |
For more information, contact: LifeHealth@tdi.texas.gov