Louisiana Assessors' Association

Insurance Forms

HealthSmart Application for Enrollment in Group Benefit Plan

HealthSmart Change Request Form

HealthSmart Working Spouse Verification Form

American General Life Insurance Employee Enrollment Form

American General Life Insurance Address Change Form

American General Life Insurance Death Claim

American General Life Insurance Death Claim for Dependents

American General Life Insurance Request for Change of Beneficiary or Name Change

Long Term Disability Form 2012

Vision Enrollment Change Form

Vision Individual Application

LOUISIANA ASSESSORS' ASSOCIATION
P.O. BOX 14699 BATON ROUGE, LOUISIANA 70898
TELEPHONE: 225-928-8886/800-925-4446 FAX: 225-928-4677