2021 Group Health Insurance (3 Options)

Independent Health iDirect Silver Coinsurance HSAQ

Independent Health iDirect Silver Copay HSAQ

Independent Health Standard Silver (Non-HSA Qualified)

Pediatric Dental

Enrollment – December 15 Deadline

Church Election/Waiver Form

Employee Enrollment Form (Re-enrolling with no changes to dependent status or address)

Employee Enrollment/Change Form – First time enrolling or changes of dependent status or address

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