Resources
Forms
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New Employee |
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Status Change Form |
Medical and Dental
Prescription Drug
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VisionVSP Non Provider Claim Form is used if you see a non Vision Service Plan provider and need to submit a paper claim.
Private Health Authorization FormAuthorization for the Release of Protected Health Information is used to access private health information.
Retirement Savings PlanAMERITRADE Plan Participant and Plan Trustee Account Form – Options Application
Need to make or update your beneficiary designations? You can do so online with the plan record keeper, New York Life Retirement Services at mylife.newyorklife.com. |
Life Insurance and Accidental Death & Dismemberment
Visit www.lifebenefits.com to enroll and to elect your beneficiaries. NOTE: Your user ID and initial password are:
- User ID: FC + your six digit Ceridian Clock Number (e.g.; FC123456)
Note: Your Ceridian Clock Number is provided to you by your Farm Credit HR Representative. - Initial Password: Your date of birth + the last four digits of your social security number (e.g.; mmddyyyy####)
Group Universal Life Service Request Form. This form is used to decrease or cancel GUL coverage or to elect, change or cancel GUL cash accumulation contributions.
Conversion Form. This form is used if you plan to be the owner of your child’s life insurance policy.
Life Insurance Conversion Form. This form is used to continue life insurance if you retire or leave the company.
Long Term Disability Insurance
LTD Conversion is used if you would like to convert your Long Term Disability Coverage.