This page is a one-stop shop to all things related to forms associated with Farm Bureau Health Plans. You can download and print applications; prescription claims forms, change of coverage forms and more.
Newborn Waiver Form
If you are applying for coverage and are currently
an expectant parent, completion of a Newborn Waiver
form will be required before the application can be processed.
The Newborn Waiver form establishes that the newborn child,
upon delivery, will not have automatic coverage. A new
application to add the newborn child will be required and the child will be underwritten. After the application process is complete, the newborn child will be added to the coverage on the next available effective date.
ACA Bank Draft Authorization Form
If you have an ACA plan (FBHP: Gold, Bronze, Silver or Catastrophic) and need to change your bank information for your monthly premium payment, complete this form, attach a voided check and mail both to Farm Bureau Health Plans.
FBHP ACA-Compliant Change Form
This form allows you to make changes to your current
A Farm Bureau Health Plans Representative is in every Farm Bureau office in all 95 counties of the state.
Farm Bureau Health Plans is proud to offer quality coverage at an affordable cost.
Quality Health Care Coverage at an Affordable Cost!
Farm Bureau Health Plans has a wide range of plans to suit different needs.Download an application to get started.