Fill - Free fillable This form allows you to enroll in retirement (The United Methodist Church Michigan Conference) PDF form

a general agency of The United Methodist Church

Page 1 of 6

3436/110719

1901 Chestnut Avenue

Glenview, Illinois 60025-1604

1-800-851-2201

wespath.org

 

This form allows you to enroll in retirement and welfare plans administered by Wespath. To participate in these plans, complete parts 1

through 4 of this form and submit the form to your plan sponsor or employer. You will be enrolled in all of the following plan(s) for which

you are eligible:

Retirement Plans

• Clergy Retirement Security Program (CRSP)

• Horizon 401(k) Plan (Horizon)

• Retirement Plan for General Agencies (RPGA)

• United Methodist Personal Investment Plan (UMPIP)





Complete your personal information. Use a black pen and print clearly in CAPITAL LETTERS.



This secon enables you to elect the percentage or dollar amount you wish to contribute by payroll deducon to UMPIP or Horizon as

before-tax, Roth and/or aer-tax contribuons. You can specify the amount either as a:

• Percentage of compensaon OR

• Dollar amount

UMPIP and Horizon are subject to contribuon limits under the Internal Revenue Code. Your total before-tax and Roth contribuons

for the year to UMPIP or Horizon (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 with less than 15 years of service

• Possibly higher if you are a UMPIP parcipant and 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 after-tax contributions (but not including “catch-up” contributions), plus any plan sponsor contributions

to Wespath administered plans (and any contributions made to other plans sponsored by your plan sponsor) cannot exceed your

compensation for the 2020 plan year or $57,000, whichever is less.

For these limit purposes, compensation does not include the value of any parsonage or housing allowance that is excluded from your

taxable income.

You cannot withdraw contributions unless you have a financial hardship as defined under the plan, attain age 59½, are disabled as

defined under the plan, retire, terminate employment and/or terminate your relationship with the annual conference.



Indicate the percentage or dollar amount that you elect to have withheld from your compensation as a before-tax contribution and

contributed to UMPIP or Horizon. Your compensation (including the value of any parsonage or housing allowance) will be reduced

. When you receive distributions from UMPIP or Horizon, your before-tax contributions and

earnings will be taxable.

Automac Enrollment

If your plan sponsor has adopted automac enrollment, review the Automac Enrollment Noce provided by your plan sponsor

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.

¹ If your plan sponsor oers plans other than those administered by Wespath, the total contribuons for all plans to the same plan type [e.g., 403(b), 401(k)] cannot exceed

the IRS limits. Call Wespath for assistance regarding these limits.



Welfare Plans

• Comprehensive Protecon Plan (CPP)

• UMLifeOpons

Page 2 of 6

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 provided by your plan

sponsor 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.



Indicate the percentage or dollar amount that you elect to have withheld from your compensation as a Roth contribution and contributed

to UMPIP or Horizon. Your compensation (including the value of any parsonage or housing allowance) will be reduced after withholding

. When you receive distributions from UMPIP or Horizon, your qualified Roth distributions are non-taxable. See the Roth

Contribution Guide at wespath.org/roth for more information.

 (not available in Horizon)

Indicate the percentage or dollar amount that you elect to have withheld from your compensation as an after-tax contribution and

contributed to UMPIP. Your compensation (including the value of any parsonage or housing allowance) will be reduced after withholding

. When you receive distributions from UMPIP, your after-tax contributions are non-taxable but earnings are taxable.



This secon enables you to specify how you want to invest your dened contribuon (DC) account balances. You may either:

• Elect LifeStage Investment Management to automate the investment of your account balances, or

• Choose among Wespath investment funds for your accounts.

If you do not make any elections in Part 3, Wespath will invest your contributions using LifeStage Investment Management. LifeStage

Investment Management is an investment management service that determines your investment fund allocation based on your answers

to the LifeStage Personal Investment Profile (see Part 3b). You may discontinue using the service and choose among Wespath investment

funds at any time; however, you may be subject to a 60-day waiting period in accordance with Wespath’s policy on interfund transfers.

Consider an investment’s objectives, risks and expenses carefully before making your selection. This and other important information

is available in the Understanding Your Investment Options brochure and the Investment Funds Description. Go to wespath.org—under

Investments, click “” and then select “Information.”

If eligible, you may contact EY Financial Planning Services at 1-800-360-2539 for investment allocation guidance at no additional cost.



Indicate whether you would like to:

• Enroll in LifeStage Investment Management to automate your investment elecons (complete 3b and SKIP 3c), or

• Choose your own investment fund elecons (SKIP 3b and complete 3c)



Answer the quesons displayed so that Wespath can direct the investment of your account through LifeStage Investment Management.

If you elect the service and do not complete this prole, the default elecons for each queson will be used.

1. Choose your risk tolerance. Risk tolerance is dened at .

2. Indicate whether you expect to receive Social Security in rerement. Most people are eligible unless they have not worked the

required number of quarters and/or have opted out.

You may change these variables as often as you wish. Refer to the Understanding Your Investment Options brochure.



Complete only if you elected to self-manage the investment of your account(s) in Part 3a. If you do not complete this section, your

accounts will be managed by LifeStage Investment Management. Indicate your investment fund election for  to your

retirement accounts. Investment elections must be entered in 1% increments.



Read and, if you agree, sign and date the form. Then return all pages of the form to your conference, church or employer. Keep a copy

for your records.

IMPORTANT: Designate your beneficiary(ies) online as soon as you are enrolled. A beneficiary receives plan benefits, if any, after you die

or if you cannot be located when a benefit is payable. When you receive your Welcome Letter from Wespath, register for Benefits Access

at . After logging in, select “” from the toolbar, then under , choose “Update

beneficiary designations.” For important information regarding beneficiary designations, go to .





² EY Financial Planning Services are available to acve parcipants and surviving spouses with account balances, and to rered and terminated parcipants

with account balances of at least $10,000. Costs for EY Financial Planning are included in Wespath’s operang expenses that are paid for by the funds.

a general agency of The United Methodist Church

Page 3 of 6

3436/110719

1901 Chestnut Avenue

Glenview, Illinois 60025-1604

1-800-851-2201

wespath.org

Part 1—

Parcipant name

Primary phone #

___________________________________________

Home address

Alternate phone #

__________________________________________

City, State, ZIP

Country of cizenship

_______________________________________

E-mail

Spouse name

_______________________________________________

Social Security #

_____ _____ _____ - _____ _____ - _____ _____ _____ _____

Spouse Social Security #

___ ___ ___ - ___ ___ - ___ ___ ___ ___

Birth date

_____/ _____/ _____

Spouse birth date

_____/ _____/ _____

Gender: q Male q Female Marriage date

_____/ _____/ _____



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 2b)

(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 6

Part 3—



Choose one:

q I elect LifeStage Investment Management to manage my dened contribuon accounts. 

q I elect to choose the investment funds for my dened contribuon accounts. 

Part 3b—

1. My risk tolerance is: q Conservave q Moderate (default) q Aggressive

Denions available at wespath.org/risktolerance.

2. I will qualify to receive Social Security benets when I rere: q Yes (default) q No

—

If you have no "election for future contributions" on file, your accounts will be managed by LifeStage Investment Management.

Funds 

Stable Value Fund %

U.S. Treasury Inaon Protecon Fund %

Inaon Protecon Fund %

Social Values Choice Bond Fund %

Fixed Income Fund %

Extended Term Fixed Income Fund %

Mulple Asset Fund %

U.S. Equity Fund %

Social Values Choice Equity Fund %

Internaonal Equity Fund %

Total 100 %

Part 4—Signature

I have read the instrucons, and understand and accept the acons I have taken with this Enrollment form. 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 or Horizon

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 2a.

• I cannot withdraw contribuons from UMPIP or Horizon unless I have a nancial hardship as dened under UMPIP or Horizon, aain

age 59 ½, am disabled as dened under UMPIP or Horizon, rere, terminate employment and/or terminate my relaonship with my

annual conference. (These limitaons do not apply to funds rolled into UMPIP and Horizon.)

• The contribuon elecon in Part 2 will remain in eect with my current plan sponsor/salary-paying unit unl I submit a new

Contribuon Elecon form.

• I have read and understand the Understanding Your Investment Opons brochure and the Investment Funds Descripon and have

considered the objecves, risks and expenses carefully before making investment elecons.

• I may be eligible to contact EY Financial Planning Services for investment allocaon guidance at no addional cost (see Instrucons).

• I understand that I can designate beneciary(ies) for my account(s) online at  when I am enrolled.

Print Name

________________________________________________________________________________

Signature

__________________________________________________________________________________

Date

______________________________________

Complete Parts 1-4 and return all pages of the form to your conference, church or employer. Keep a copy for your records. Be sure to

designate your beneciaries online once you receive your enrollment Welcome Leer.

Page 5 of 6

Part 5—

Church/employer name

_________________________________________________________

Church/Employer #

___________________________________

Address

________________________________________________________________________

Conference

__________________________________________

City, State, ZIP _____________________________________________________________________

Phone #

______________________________________________

Appointed to:

q Full-me service q ¾ me service q ½ me service q ¼ me service



1. Cash Salary: $

______________________________________________________________

(Cash paid to clergyperson by the church/charge and/or conference. Cash salary consists of base pay, cash bonuses, equitable

compensaon, cash allowances, cash to clergyperson for benet programs, before-tax, Roth and aer-tax contribuons to UMPIP

and other 403(b) programs, Secon 125 medical reimbursement and designated housing exclusion.)



group health plan.

IRC Secon 107 Housing Exclusion: $

_______________________________________

(Amount included in Cash Salary above that has been designated by the charge conference for housing expenses and not subject to

federal income taxaon.)

Health Care Compensaon: $

______________________________________________

(Compensaon in lieu of conference-provided group health plan.)



2. Housing (check only one):

q Parsonage provided

q Housing allowance in lieu of parsonage: $

_______________________________









Date of employment

____________________________________________________________

Number of hours regularly worked per week as of date of employment: q 30 or more q 20 - 29.9 q < 20

Eecve date of employee schedule change _____________________________

Annual compensaon

___________________________________________________________

q Open bill*

*Check this box if the parcipant is hourly and you do not want us to use this compensaon for contribuon calculaon purposes. If this box is checked, we will use

compensaon only for rerement income projecons; therefore, you may enter any reasonable approximaon of annual compensaon (e.g., base pay or average

earned pay).

Complete this secon only if employee’s work schedule has changed since date of employment.

Annual compensaon as of date of employment

_____________________________________________________________

q Open bill*

New hours regularly worked per week: q 30 or more q 20 - 29.9 q < 20

Page 6 of 6

Part 6—

Eecve date of parcipant contribuons elected in Part 2:________________ 1, 20_____.

This date should be the rst day of a month on or aer the parcipant signed this form in Part 4.

Authorized representave

______________________________________________________

Title

__________________________________________________

Authorized signature

____________________________________________________________

Date

__________________________________________________

E-mail

___________________________________________________________________________

Phone #

______________________________________________

Complete this form and mail it to:

Wespath Benets and Investments

1901 Chestnut Ave., Glenview, IL 60025

The plan sponsor/salary-paying unit should keep the original

form for its payroll records.

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

This form allows you to enroll in retirement (The United Methodist Church Michigan Conference)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank This form allows you to enroll in retirement (The United Methodist Church Michigan Conference) Form

Related forms

Fillable This form allows you to enroll in retirement (The United Methodist Church Michigan Conference)

Fill Online, Printable, Fillable, Blank This form allows you to enroll in retirement (The United Methodist Church Michigan Conference) Form

Related forms

First 20 documents completely FREE!