Benefits Forms and Guidelines

Health Flex Phone #'s

Health Premium Rates

• Active Participant Rates
• Retiree Participant Rates

BENEFITS

Medical and Pharmacy -- Active -- United Health Care(UHC)

• EPO -- D Benefits Summary and Plan Booklet
• PPO Benefits Summary and Plan Booklet
• OOA Benefits Summary and Plan Booklet
• VSP (vision) Benefit Summary
• Medco Pharmacy Prescription Drug Plan

Medical and Pharmacy--Retirees

• United Health Care (UHC) Advantage HMO (formerly Secure Horizons) Benefits Summary
• Note: UHC Advantage plan includes pharmacy and vision
• Medicare Companion 2 Plan
• Vision Care Plan for retirees enrolled in the Companion 2 Plan
• Medco Pharmacy Prescription Drug Plan for retirees enrolled in the Companion 2 Plan

Dental--Active and Retiree

• Cigna HMO Dental
• Cigna Traditional Dental
• Cigna Dental Claim Form

United Behavioral Health (UBH)

• EAP and Behavioral Health Plan EPO
• EAP and Behavioral Health Plan PPO

OTHER IMPORTANT INFORMATION

Reimbursements

• Ceridian MRA Claim Form
• Ceridian DCA Claim Form
• MRA-DCA and MRA Grace Period Information

Wellness Guidelines

• Age 10 and Under
• Age 11-24
• Age 25-64
• Age 65 and Over

Personal Health Screening Guidelines

Weight Watchers

Wellness and You -- Wellness Exam Benefits

Church Tithe

Annual Conference Petition (PDF)
2012 Tithe Form (XLS) (PDF)
Instructions (PDF)
FAQ's (PDF)

Clergy Forms/Guidelines

Accountable Reimbursement (PDF)
Q&A/Allowable Items (PDF)
Sample Expense Voucher (DOC)
Clergy Compensation Form 2013 (XLS)
Conference Average Compensation--CAC (DOC)
Denominational Average Compensation--DAC (DOC)
Equitable Minimum Compensation (DOC)
Housing Exclusion Calculation (Found in the Clergy Compensation Form)
Sample Forms (DOC)
Sample Policies (DOC)
Ministerial Education Funds Application (DOC) (PDF)
Moving Checklist--New, Moving and Retired Policies (DOC)
Moving Expense Form (DOC)
Parsonage Housing Guidelines (DOC)
Pastors Discretionary Fund (DOC)
Tax Reporting Requirements
Clergy Payroll/Clergy Form W2 (DOC)
Clergy Tax Packet (DOC)
Charge Conference

Conference Annual Budget

2012

Conference Audited Financial Reports

2010

Financial Forms/Guidelines

Audit Guide (DOC)
Bequest Form (DOC)
Financial Internal Control Policy (DOC)
Fund Balance Report (PDF) (XLS)
Group Ruling for Tax Exemption (PDF)
Internal Financial Controls Suggested Format (DOC)
IRS Mileage Allowance/Conference Guidelines (DOC)
Property Tax Exemption Documents (DOC)
Records Retention Schedule (PDF)
Travel and Meeting Expense Guidelines/Voucher (PDF)
Unrelated Business Income (PDF)
Benevolence Fund Policy (PDF)

Property and Liability Forms/Guidelines

Auto Accident Claim Form (PDF)
Incident Claim Form (PDF)
Incident Contact Information (PDF)
Property Insurance Claim Form (PDF)
Summary Coverage Level Requirements (DOC)
Vehicle Loaning Policy (PDF)

Other Forms/Guidelines

Background Check Information and Form (PDF)
Church Closing Procedure (DOC)
Conference Chancellor Guidelines (DOC)
Employer/Independent Contractor (DOC)