FEBCO Your Road to
Reducing Cost and Enhancing Value
in Benefits Administration
Join Us On Facebook
Agent Forms


 Enrollment Form

  Use this form to enroll a new or renewing participant.

 Qualified Status Change Form

 Change of Address Form

  Use this form to change a participants email, telephone number, and/or mailing address. 

 Termination of Employee Form

 Additional Febco Card Request Form

  Use this form to request any additional Febco Benefits MasterCards for the participant and/or dependents.