FORMS-GUIDES
Below is a list of LEHB's most commonly requested forms and guides. You may print out a blank form from from this page by clicking on the corresponding download button below.
DownloadHow To Add Or Remove Dependents
DownloadAdd Or Remove a Dependent Form
DownloadBlue Cross/Shield Benefits Summary
DownloadChange of Address Form
DownloadDental Providers
DownloadExpress Scripts
DownloadFitness Logbook
DownloadFitness Reimbursement Booklet
DownloadPrograms and Services Guide
DownloadSmoking Cessation Resources
DownloadVision Participant Notice
DownloadVision Claim Form
DownloadVision Care Providers