Forms, Documents, and Publications

Clergy FSA Reimbursement Form
Type: Benefits

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2023 Contribution Election for UMPIP
Type: Benefits,Moving Clergy

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2022 Health Rates & Individual Contributions
Type: Benefits,Treasury Services Forms

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2023 Active Plan Health Rates & Individual Contributions
Type: Benefits,Treasury Services Forms

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2023 WNC FSA Clergy Enrollment Form
Type: Benefits

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Teledoc Instructions
Type: Benefits

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2022 Additional Health Benefit Information
Type: Benefits,Moving Clergy

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2022 Additional Pension Information
Type: Benefits,Moving Clergy

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Change of Address Form for Wespath, Healthgram, Clergy Benefits, Brick River, Colonial Life, ACA & TSPD
Type: Benefits,Moving Clergy

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HealthMap Rx
Type: Benefits

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2022 Health Plan Benefit Highlights
Type: Benefits

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2022 WNC Healthgram Open Enrollment Form
Type: Benefits

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2023 WNC Healthgram Open Enrollment Form
Type: Benefits

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Active Plan Prescription Drug Administrator
Type: Benefits

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Application for Moving Allowance
Type: Benefits,Moving Clergy

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Conference Wellness Initiative
Type: Benefits

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IRS Form W-9
Type: Benefits,Moving Clergy,Treasury Services Forms

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Moving Expense Policy
Type: Benefits,Moving Clergy

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Retiree Seminar Pt 1
Type: Benefits

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Retiree Seminar Pt 2
Type: Benefits

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WNCC Flex Enrollment Election Form (fillable pdf)
Type: Benefits,Treasury Services Forms

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WNCC Flex Enrollment Election Form (pdf)
Type: Benefits,Treasury Services Forms

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WNCCUMC Health Map Flyer
Type: Benefits,Treasury Services Forms

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