Fillable Contribution ElectionInformation and Instructions United Methodist Personal Investment (The United Methodist Church Michigan Conference)

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Contribution ElectionInformation and Instructions United Methodist Personal Investment (The United Methodist Church Michigan Conference)

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
This form allows you to elect to make before-tax, Roth and/or aer-tax contribuons to your United Methodist Personal
Investment Plan (UMPIP) account.
UMPIP is a 403(b) plan, subject to contribuon limits under the Internal Revenue Code. Your total before-tax and
Roth contribuons for the year to UMPIP (and any other qualied rerement plans) cannot exceed the lesser of your
compensaon or the 2020 limit of:
• $19,500 if you are under age 50 with less than 15 years of service
• $26,000 (includes $6,500 “catch-up” contribuon) if you will be 50 or older by December 31
• Possibly higher if you have at least 15 years of service with all United Methodist-related organizaons—call Wespath
for further informaon
Your total before-tax, Roth and aer-tax contribuons (but not including “catch-up” contribuons), plus any plan sponsor
contribuons to UMPIP [and any other 403(b) plans sponsored by your plan sponsor] cannot exceed your compensaon for
the 2020 plan year or $57,000, whichever is less.
For these limit purposes, compensaon does not include the value of any parsonage or housing allowance that is excluded
from your taxable income.
You cannot withdraw contribuons from UMPIP unless you have a nancial hardship as dened under UMPIP, aain age
59½, are disabled as dened under UMPIP, rere, terminate employment and/or terminate your relaonship with the
annual conference.


Complete your personal informaon. Use a black pen and print clearly in CAPITAL LETTERS. If you enter a new address that
should be used to update your parcipant record, contact Wespath at 1-800-851-2201.

Indicate the dollar amount or percentage that you elect to have withheld from your compensaon as a before-tax
contribuon and contributed to UMPIP.
Your compensaon (including the value of any parsonage or housing allowance) will be reduced before withholding taxes
are calculated. When you receive distribuons from UMPIP, your before-tax contribuons and earnings will be taxable.
Automac Enrollment
If your plan sponsor has adopted automac enrollment, review the Automac Enrollment Noce to determine if this
feature applies to you. If you have been automacally enrolled in UMPIP and wish to change your before-tax contribuon
elecon, or if you are about to be automacally enrolled and wish to make a before-tax contribuon elecon that is
dierent than the automac contribuon rate described in the Automac Enrollment Noce, indicate that elecon on
the form.
1901 Chestnut Avenue
Glenview, Illinois 60025-1604
1-800-851-2201
wespath.org
Contribution Election—Information and Instructions
United Methodist Personal Investment Plan (UMPIP)
a general agency of The United Methodist Church
Page 1 of 4
3255/021820
Automac Contribuon Escalaon
If your plan sponsor has elected automac contribuon escalaon, review the Automac Enrollment Noce to determine
your eligibility for this feature and learn how it works. Check the box to indicate whether you elect to have automac
contribuon escalaon apply to your before-tax contribuons. If you do not make an elecon and are eligible for automac
contribuon escalaon, this feature will be applied to your contribuons as the default elecon.
Part 3 – Roth Contribuon
Indicate the dollar amount or percentage that you elect to have withheld from your compensaon as a Roth contribuon
and contributed to UMPIP.
Your compensaon (including the value of any parsonage or housing allowance) will be reduced aer withholding taxes are
calculated. When you receive distribuons from UMPIP, your qualied Roth contribuons are non-taxable. See the Roth
Contribuon Guide at wespath.org/assets/1/7/4834.pdf for more informaon about the tax implicaons of Roth account
distribuons.
Part 4 – Aer-Tax Contribuon
Indicate the dollar amount or percentage that you elect to have withheld from your compensaon as an aer-tax
contribuon and contributed to UMPIP.
Your compensaon (including the value of any parsonage or housing allowance) will be reduced aer withholding taxes are
calculated. When you receive distribuons from UMPIP, your aer-tax contribuons are non-taxable but the earnings on those
contribuons are taxable.
Part 5 – Signature
Read the statement and, if you agree, sign and date the form. Then, return it to your employer or plan sponsor. Keep
a copy of the submied form for your records.
Part 6 – Acceptance by the Plan Sponsor/Salary-Paying Unit
Your plan sponsor must sign and date this form and return it to Wespath as indicated.
Page 2 of 4
1901 Chestnut Avenue
Glenview, Illinois 60025-1604
1-800-851-2201
wespath.org
Contribution Election
United Methodist Personal Investment Plan (UMPIP)
a general agency of The United Methodist Church
Page 3 of 4

Name Social Security # (last 5 digits)
_____ _____ _____ _____ _____
Mailing address Primary phone #
( )
E-mail
q Clergy q Lay q Bishop

Review the Instrucons for important informaon about automac enrollment and automac contribuon escalaon.
Choose one:
q  % of compensaon
q $ per month (cannot exceed your monthly compensaon)
q I elect not to make before-tax contribuons (Skip to Part 3)
(choose one if this feature applies to you—see Instrucons):
q I elect to have automac contribuon escalaon apply to my before-tax contribuons (default)
q I elect not to have automac contribuon escalaon apply to my before-tax contribuons

Choose one:
q  % of compensaon
q $ per month (cannot exceed your monthly compensaon)
q I elect not to make Roth contribuons

Choose one:
q  % of compensaon
q $ per month (cannot exceed your monthly compensaon)
q I elect not to make aer-tax contribuons
Page 4 of 4
Please complete this form and send it by:
• E-mail (scanned copy) to prcwebteam@wespath.org or
• Fax to 1-847-866-5195 or
• Mail to Wespath Benets and Investments
1901 Chestnut Avenue, Glenview, IL 60025
The plan sponsor/salary-paying unit should keep the original
form for its payroll records.

I have read the instrucons, and understand and accept the acons I have taken with this Contribuon Elecon.
I acknowledge that:
• The indicated before-tax, Roth and/or aer-tax contribuons will be withheld from my pay and contributed
to my UMPIP account.
• My before-tax contribuon percentage will increase each year up to a maximum percentage as specied in the
Automac Enrollment Noce, if I am eligible, unless I elected not to have automac contribuon escalaon apply
to my before-tax contribuons in Part 2.
• I cannot withdraw contribuons from UMPIP unless I have a nancial hardship as dened under UMPIP, aain age
59 ½, am disabled as dened under UMPIP, rere, terminate employment and/or terminate my relaonship with
my annual conference.
• This agreement will remain in eect with my current plan sponsor/salary-paying unit unl I submit a new form.
Print Name
Signature Date
Part 6 – Acceptance by the Plan Sponsor/Salary-Paying Unit
Eecve date of this contribuon 1, 20 .
This date must be the rst day of a month on or aer the parcipant signed this form.
Plan sponsor name Employer #
Plan sponsor address Phone #
( )
Authorized representave Title
Authorized signature Date
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Contribution ElectionInformation and Instructions United Methodist Personal Investment (The United Methodist Church Michigan Conference)

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Completed 23 August 2021

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