This page contains links to useful forms for VLCT's three self-insurance trusts. The pencil icon shows the forms that can be filled in and submitted completely online. The PDFs are for you to fill in on paper and submit by standard mail, fax, or scan & email as indicated on each form.
Please note: The files posted here are intended for use by current VLCT Health Trust members and their covered employees during a current plan year. Employer groups not currently in the Health Trust or current Health Trust members that intend to switch carriers for the upcoming plan year will please click here to be redirected to the appropriate enrollment kits.