Miscellaneous

You will find most of our non-carrier specific self-service forms below.

Instructions

Please click on the link and print the form. After completing the form forward it to the appropriate authority. You may contact Carol Rowe at 781-837-9222 for assistance in choosing and completing the correct forms or e-mail her at carol@lpins.com.

Miscellaneous Forms

LTD Health Profile 2/5/2010 51.50 KB Download
Needs Analysis 2/5/2010 31.08 KB Download
Payroll Authorization Form 5/23/2016 110.07 KB Download
DI Health Profile 2/5/2010 58.00 KB Download
Health Profile 2/5/2010 46.82 KB Download
INSURANCE CANCELLATION FORM 3/18/2010 63.85 KB Download