Transmittal Checklist for Life/Health, Advertising, Rate and Form Filings
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| TDI form number | Description | Format | Language |
|---|---|---|---|
| LAH310 |
Life and Health Transmittal Form |
English | |
| LAH311 |
Life, Health and HMO Miscellaneous Documents Transmittal Checklist |
English | |
| LAH312 |
HMO Transmittal Checklist and Certification Form |
English | |
| LAH313 |
Advertising Transmittal Checklist and Certification Form |
English | |
| LAH314 |
Advertising Annual Certification of Compliance |
English |
For more information, contact: LifeHealth@tdi.texas.gov