- Lubbock Independent School District
- Forms & Documents
Risk Management
- Risk Management Overview
- Frequently Asked Questions
- General Information
- How to Find a BCBS of Texas Medical or Dental Provider
- How Do Our Benefits Compare?
- Dental Plan
- Qualifying Life Events
- Announcements
- Transparency In Coverage
- New Hire Benefits Enrollment Information
- Wellness Screening Form - Biometric Results - Physician Use
- Benefit Separation Checklist
Claim Forms / Information
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BCBS Wellness Claim Form
Use this claim form to file for gym membership reimbursement (up to $18/month) if you are enrolled in an LISD Medical Plan.
Include a log of 10 gym visits for one month, a receipt or contract showing gym membership payment and the completed claim form.
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BCBS Medical Claim Form
Use this form to file a claim with BCBS when your provider did not. (Out-of-Network)
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Living Better Diabetes Claim Form
Diabetes claims must be submitted with all required documentation supporting the claim (i.e. pharmacy slips, receipts, etc.) along with the completed LBD form within sixty (60) days for processing. CLAIMS SUBMITTED AFTER SIXTY (60) DAYS WILL BE DENIED.
Updates - Qualifying Life Event Instructions
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Qualifying Life Event Instructions Using FFenroll
See below for instructions on filing a Qualifying Life Event through FFenroll: