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Enrollment Kit - Landmark Health Plan (Chiro & Acupuncture)

 
This checklist is provided as a guide. The carrier may require additional items and documentation. Please refer to the carrier's underwriting guidelines for a complete list of requirements. Please use the latest version of forms.
 
Our goal is to process your new group enrollment easily and efficiently in order to provide you and your client with a quick approval.  The following list outlines Landmark Health Plan’s case submission requirements.​​​​

Sold Group Paperwork:
 
For other useful or older documents, please refer to the Forms database.