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2024 Health Benefits


November 7-29, 2023

The 2024 Conference Health Benefits details for open enrollment are now available (as a single .zip file) for download on this Health Benefits page via the button below.

Please first carefully read the “2024 Cover Letter” document, which contains pertinent details on this year’s process.

To enroll, if you have previously waived the Conference enrollment or made plan changes or if you are adding or dropping any dependents for January 1, 2024, the deadline for submitting all forms to Rosa Garcia is November 29, 2023. Please email completed forms to or fax them to 626.577.1620 no later than the due date. If enrollment forms are being submitted directly by the Clergy, please ensure that your church’s SPRC Church chair and Office Administrator are cc’d.

Note that incomplete forms may delay your enrollment, so please make sure you complete all highlighted areas on the form, which include your personal information and your dependents’ information (if applicable), as well as your plan election if enrolling in Medical or Dental. If the completed forms are received late, enrollment may be delayed and may be subject to review and approval from each of our carriers before becoming active. If a carrier denies the enrollment, you will receive an email advising you. The next opportunity to enroll will be during our next open enrollment. You will need to resubmit forms at that time for an effective date of January 2025.

If you are waiving the Conference Health Benefits starting January 1, 2024, please complete the Health Benefits Waiver form here. Once the declination form is fully completed and you hit the submit button, it will be routed electronically to the Benefits Office, and you will receive a copy.

For questions, contact Rosa Garcia (; 626.568.7319), Health Benefits & Employment Administrator.

OR download each file:
  1. 2024 Cover Letter (PDF)
  2. 2024 Policy Guideline for Sponsoring Conference Health Insurance (PDF)
Enrollment Forms:
Plan Summaries & Rates:
New Member Information:

To waive the Conference health benefits during open enrollment or at any time of the  year due to a qualifying event, please complete and submit the Declination form here.