Employer Forms
We exist to provide ministries and workers - like yours - with health, retirement and disability benefits that align with our Christian faith and values.
As a non-profit partner of the LCMS community that brings together thousands of ministries of all sizes, Concordia Plans is able to offer affordable, quality benefits, as well as business solutions that free up ministries to focus on spreading the Word of God. We are here because of you, for you.
Enrollment and Status Changes
eSign Forms:
Death Notification Form (40153) - eSign Edition
Disability Submission Form (40152) - eSign Edition
2025 Flexible Spending Account Enrollment Form (HealthEquity) - eSign Edition
Health Savings Account Application (HealthEquity) - eSign Edition
Worker Status Verification for Workers on Disability (11176) - eSign Edition
Worker Change or Termination Report - Ineligible for Benefits (21055) - eSign Edition
Adoption and Elections
eSign Forms:
Critical Illness/Accidental Injury Employer Election (12110) - eSign Edition
CRP Option Election (11374) - eSign Edition
CRSP Agreement for Adoption (11042) - eSign Edition
CRSP Agreement for Adoption for Part-Time Workers (11372) - eSign Edition
CRSP Employer Contribution Election Form (11030) - eSign Edition
Probationary Period Certification Form (11055) - eSign Edition
Beneficiary Change
Contribution Change
