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Through the ELCA Pension and Other Benefits Program, Portico strives to empower members to live well for life — physically, financially, and emotionally. By living well as whole people of God, we can better enhance the lives of others — doing God’s work in Christ’s name for the sake of the world.
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The Wholeness Wheel reflects our call to care for our whole self. By balancing the interconnected dimensions of well-being, we are able to live well in Christ and pass on our faith.
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While you can sign in to make many benefit-related elections, transactions, and changes here online, this page lists the paper forms used most commonly.
Housing Equity Contribution Agreement PDF 221 KB
To make or change housing equity contributions to a sponsored pastor’s ELCA Retirement Plan account.
If you have been named as a member’s Power of Attorney, use this form to exercise control of the member’s ELCA health and/or financial benefits.
If you name a primary beneficiary other than your spouse or eligible same gender partner (ESGP), you must submit this form with your spouse’s or ESGP’s signature, and the form must be notarized.
If your spouse or ESGP consented to waive their rights as sole primary beneficiary for the ELCA Retirement Plan and now wishes to rescind their decision, their rights may be reinstated by completing this form.
Designate or change a beneficiary if you're receiving monthly annuity payments from the ELCA Retirement Plan.
To authorize Portico to discuss your protected health information with someone other than you.
If you’re retired and want to change your ELCA health benefits coverage, including adding dependents and discontinuing or restarting coverage.
Dependent (Day) Care FSA Worksheet 2017 PDF 76 KB
To help you determine the amount to contribute to your dependent (day) care flexible spending account (FSA) for you and your eligible tax dependents.
Continue or terminate ELCA health benefits coverage after termination of employment.
Enroll an eligible grandchild in the ELCA health plan.
Health FSA Worksheet 2017 PDF 84 KB
To help you determine the amount to contribute to your health flexible spending account (FSA) for you, your spouse, and eligible tax dependents.
Health Savings Account Worksheet 2017 PDF 120 KB
To help you determine the amount to contribute to your health savings account (HSA) for you, your spouse, and eligible tax dependents.
If you choose to waive ELCA health benefits, you must submit this form and a copy of your other valid health coverage ID card.
Submit this form to us by Sept. 30 if you have ELCA-Primary Health Coverage and have an illness, injury, or impairment that prevents you from taking the health assessment and engaging in online health improvement activities to earn personal wellness dollars.
If you’re a retired member, a surviving spouse or ESGP, or someone who is receiving a Medicare reimbursement, use this form to set up an electronic transfer your monthly annuity payment or reimbursement to your bank account.
If you’re receiving an annuity or other benefit payment, use this form to indicate the amount of federal income tax Portico should withhold, or to indicate no withholding.
Use this form to request a calculation for the maximum contribution you or your employer can make to your ELCA Retirement Plan account.
A Ministry of the ELCA
Plan member rights under the plans are governed by the plan documents, which are the full, legal descriptions of the plans. If any of the information on this page is inconsistent with the corresponding plan document, the plan document is the controlling document.
© 2017 Portico Benefit Services
Learn about changes to your health benefits and how easy it is to enroll online.
If you plan to enroll in a 2013 health care or dependent (day) care flexible spending account (FSA), you must enroll online.