Forms and Resources
- LSU First Enrollment Form: GB-01
- Medical Claim Form (WebTPA)
- Prescription Drug Claim Form (MedImpact)
- First Choice Provider Nomination Form
- Aetna ASA Provider Nomination Form
- LSU First Prior Authorization Form
- WebTPA HIPAA Form
- MedImpact Rx HIPAA Form
- Request for Continuation of Health Coverage for Incapacitated Dependent Child
LSU First Newsletters
One of the best things you can do to protect and improve your health is to stay informed. Each LSU First Newsletter issue features a variety of topics including information on common health topics and interests, health tips, updates to the LSU First plan, and services offered through the plan.