Health Insurance and FSA Enrollment

Authorization Forms for Laity

2017 Lay Employee Health Insurance Enrollment Forms

2017 Lay Employee Open Enrollment Authorization Form (PDF)
2017 Lay Employee Open Enrollment Authorization Form (WORD)

2017 New Lay Employee Enrollment Authorization Form (PDF)
2017 New Lay Employee Enrollment Authorization Form (WORD)


Qualified Mid-Year Status Changes for Lay Employees
(To be completed by the local church or agency)


Qualified Mid-Year Change in Status Form (WORD)
Qualified Mid-Year Change in Status Form (PDF)


Send all signed original form’s to:
Oklahoma Conference Benefits Office
1501 N.W. 24th St.,
Oklahoma City, OK 73106-3635