MemberXG Benefit system

Want to check eligibility or the status of your claim? Log on to MemberXG and check your information online, available 24 hours a day, seven days a week.


Summary Plan Description Booklets

UFCW and FELRA Severance Plan SPD

Downloads (Forms)

Benefit Service Request Form (Pension & Severance)
Severance Application
Severance Application Deadline Schedule
Severance Beneficiary Registration Card
Severance MD State Tax Withholding Form
Severance Tax Withholding Form (Federal)


Severance Application Deadline Schedule
ACME Severance Bene Reg Form
Federal Tax Withholding
Maryland State Tax Withholding Form

These forms are published on this page by Associated Administrators, LLC
on behalf of the Client Fund and are meant solely for the use of their participants.