LHA Trust Funds Application Downloads

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Professional Liability/General Liability

• Miscellaneous Healthcare Facilities Renewal Application (Healthcare Facilities PL/GL)
• Miscellaneous Healthcare Facilities Application (Healthcare Facilities PL/GL)
• Malpractice & General Liability Renewal Form
• Malpractice & General Liability New Application
• Cyber Liability Increase Limits Application (Healthcare Facilities)

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Workers’ Compensation

• LHAWC Self-Audit Form
• Workers' Compensation Application Form
• Workers' Compensation Renewal Form

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The Physicians Trust

• Physicians Professional Liability Application
• Physicians Professional Liability Renewal Application
• Miscellaneous Health Care Provider Application
• Entity Application

PCF Applications

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If you do not see an application you are looking for, please contact Lindsay Minzey via phone at 225.368.3830 or via email at lindsayminzey@lhatrustfunds.com.