The forms in this section are Adobe Acrobat Files. These are downloadable, printable publications containing full text and graphics. You will need to have the Adobe Reader installed to use these forms. If you do not have it, you can download it for free from Adobe.
Please select a Plan below to view and print the appropriate Enrollment form. To enroll in a plan, you must first be a member of LRFA (or apply at the same time). If you are not currently a member of LRFA, please see our Membership section.
- F-65: Medicare Supplemental Plan Application
![PDF](/wp-content/themes/FoundationPress/dist/assets/images/pdf.gif" "PDF format")
- F-9: Health Supplemental Plan Application
- F-40: Hospital Cash Plan Application
- F-102: Travel Medical Plan Application or you can Enroll Online for this plan.
- F-101 : Medical Plan For Visitors From Abroad Application
- F-1: Final Expense Plan Application