LHA Trust Funds Application Downloads

Professional Liability/General Liability

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

Workers’ Compensation

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

The Physicians Trust

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

PCF Applications

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.