2022 Group Health Insurance (3 Options)

Independent Health iDirect Silver Coinsurance HSAQ

Independent Health iDirect Silver Copay HSAQ

Independent Health Standard Silver (Non-HSA Qualified)

  • Employee $493.53
  • Employee and Children $839.00
  • Employee & Spouse $987.06
  • Family $1405.56
  • Deductibles:
    • Individual – $1300
    • Family – $2600
  • Not Eligible for Health Savings Account
  • Benefit Summary – Standard Silver 2022

Pediatric Dental

Enrollment – December 15 Deadline

Church Election/Waiver Form

2022 Enrollment Waiver Form – Re-enrolling with no changes to dependent status or address

Enrollment/Change Form – First time enrolling or changes of dependent status, phone, or mailing address

Health Savings Account Info for 2022

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

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