Do not waive the HSA because you can not change your mind during the year if you waive it when you make your election.
Part 5 is not applicable to full-time appointed clergy. Lay staff may opt out of the Conference health insurance plan; however, full-time appointed clergy may not as per the rules established by the Annual Conference.
Sign and date
Return this form to the Conference Benefits Office via email at email@example.com AND firstname.lastname@example.org. Scanned copies only. DO NOT send the forms to Wespath as those instructions are for the Benefits Office. NO PHOTOGRAPHS