2024 Group Health Insurance (3 Options)

Independent Health iDirect Silver Coinsurance HSAQ

2024 Summary of Benefits – iDirect Silver Coinsurance

  • Health Savings Account Qualified
  • Employee $539.18
  • Employee and Children $916.61
  • Employee & Spouse $1078.36
  • Family $1536.66
  •  Deductibles:
    • Individual – $3000
    • Family – $6000

Pediatric Dental

Independent Health iDirect Silver Copay HSAQ

2024 Summary of Benefits – iDirect Silver Copay

  • Health Savings Account Qualified
  • Employee $581.88
  • Employee and Children $989.20
  • Employee & Spouse $1163.76
  • Family $1658.36
  • Deductibles:
    • Individual – $2000
    • Family – $4000

Independent Health Silver Copay (Option 2) (Non-HSA Qualified)

2024 Summary of Benefits – iDirect Silver Copay (Option 2)

  • NOT Eligible for Health Savings Account
  • Employee $599.89
  • Employee and Children $1019.81
  • Employee & Spouse $1199.78
  • Family $1709.69
  •  Deductibles:
    • Individual – $2100
    • Family – $4200

Enrollment Forms – December 15 Deadline

2024 Enrollment Waiver Form – New or Re-enrolling with no changes to dependent status, phone, or mailing address

2024 Independent Health Member Enrollment Fillable Form – First time enrolling or changes of dependent status, phone, or mailing address

2024 Health Savings Account Overview – Indicates maximum contributions for the calendar year

2024 WNY District of the Wesleyan Churches Compliance Notices for Employees

Please send enrollment forms by mail, email or fax to:

Mail: Western New York District of The Wesleyan Church
4669 Pinecrest Terrace
Eden, NY 14057

Email:  office@wnydistrict.com

Fax: 716-648-4053