All LRFA members may pay by check, money order, or simply use the online form below to submit a payment for your current Benefit Plans.

Confirmation email will be sent to you once we receive payment.

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Please enter the applicable fees from your invoice.

You may pay for one or more months in the current year (please note how many months you are paying for on each plan and multiply fees accordingly).

Medicare Supplemental Plan Months Amount Due
  M-Basic   M-1   M-2   M-3   M-4   M-5   M-6   M-7
Health Supplemental Plan    
  H1-20   H1-50   H1-80
  H2-20   H2-50   H2-80
  H3-20   H3-50   H3-80
Hospital Supplemental Plan    
  Group I   Group II   Group III   Spec. A   Spec. B
Medical Plan for Visitors from Abroad    
  Plan A   Plan B
Final Expense Plan    
Plans       B   C   D   E   F   G   H   I   J
  Benefit Plan Fees:
  Donation (optional): 
  Annual Membership Fee $30: 
  Total Payment: 

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