Our district offers a “High Deductible” plan (Calendar Year with Open Enrollment December 1-31).

2019 Group Health Insurance (2 Options)

Independent Health iDirect Silver Coinsurance HSAQ

• Single $451.12
• Employee and Children $766.90
• Employee & Spouse $902.24
• Family $1,285.69
•  Deductibles:
  • Individual – $3000
  • Family – $6000
• Benefit Summary – iDirect Silver Coinsurance HSAQ
• SBC  – iDirect Silver Coinsurance HSAQ

Independent Health iDirect Silver Copay HSAQ (New Option)

• Single $470.78
• Employee and Children $800.33
• Employee & Spouse $941.56
• Family $1,341.72
• Deductibles:
  • Individual – $2250
  • Family – $4500
• Benefit Summary – iDirect Silver Copay HSAQ
• SBC  – iDirect Silver Copay HSAQ

Pediatric Dental

• $15.43/child/month
• Dependents under the age of 19 are automatically enrolled (unless waived)
• Delta Dental Pediatric Dental
• Delta Dental- Stay Connected Brochure
• Delta -ID Card

HDHP & HSA Overview 2019

Enrollment

2019 Independent Health Member Enrollment Filllable Form

For the Full Benefits Booklet – Contact the District Office 716-646-0282

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

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

Office@wnydistrict.com

Fax: 716-648-4053