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LHK Partners, Inc. Form Downloads

LHK Partners, Inc. Form Downloadsjjz03932019-11-01T11:12:56-04:00

Benefit Information

Carrier Website Links

Form Downloads

Contact Us

2019 Benefit Election Form

Medical Forms

Cigna Enrollment Form
Transition of Care/Continuity of Care Request Form

Health Reimbursement Arrangement Forms (HRA)

Direct Deposit Authorization Form
HRA Enrollment Form
Medical Claim Form

MetLife Forms

MetLife Vision Certificate
MetLife Vision Claim Form
MetLife Enrollment Form
Dental Claim Form

Mutual of Omaha Forms

Mutual of Omaha STD Claim Form
Mutual of Omaha Life Beneficiary Form

Flex Spending Forms

FSA Summary
FSA Election Form
Medical Claim Form
Transit Only Form

Spousal Surcharge Information

Spousal Surcharge FAQ’s
Spousal Surcharge Waiver Form

Brown & Brown of Pennsylvania, LP

125 E. Elm Street, Suite 210
Conshohocken, PA 19428

2 Market Plaza Way, Suite 2
Mechanicsburg, PA 17055

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Property & Casualty: (215) 829-1776

Employee Benefits: (610) 275-8989

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