To find information about 403(b) plans and specific school district instructions for exchanges, loans, transfers (not allowed by all school district plans) or other 403(b) transactions; please select the FORMS menu. Specific employer information can be found by selecting A-M or N-Z on the drop down menu using the first name of the school district.
Please review the specific information for your school district as 403(b) plan provisions and approved vendor companies vary by district. Call or email us if you have questions.
REIMBURSEMENT FORMS FOR FLEXIBLE SPENDING ACCOUNTS
Medical Claim Form
Dependent Care Claim Form
Select the FORMS menu, choose A-M. Then scroll down to the FSA Dependent Claim form or the FSA Medical Claim form. Complete the form and attach receipts for your expenses. You may fax, scan and email or send via USPS for reimbursement.
Crider Insurance Services, Inc. Third Party Administrators 6300 Ridglea Place Suite 315 Fort Worth, TX 76116 817-735-8304 FAX: 817-735-8301 email@example.com or firstname.lastname@example.org