Membership RenewalWe're an Independent and Employer-Led Coalition on Healthcare

LCBGH membership is billed and is based on the number of benefits eligible employees on a flat fee structure and sliding scale -see sidebar to right.

To renew your membership online, simply use the form below.

For questions or additional information, please call Jim Schmucker, LCBGH Executive Director, at (717) 239-6954.

Please use this form to renew your membership:

Name and Title
Company
Number of Employees
Address
City, State, Zip
Phone
Fax
Email
I will be paying for

Comments

Thank you for renewing your membership!
Use this button to pay via PayPal:

Or print out your email confirmation and mail with a check.

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Business & Providers
0-50 employees	$50
51-100 employees	$75
101-500 employees	$150
501-999 employees	$250
1,000+ employees	$500
Brokers & Consultants
Flat Fee	$250
Third Party Administrator (TPA)
Under 10,000 covered lives	$250
Over 10,000 covered lives	$500
Insurers
Under 10,000 covered lives	$500
Over 10,000 covered lives	$1,000
Community Advocate
Level One	$2,500
Level Two	$4,500
Level Three	$9,500

* Fees are billed annually