Member Forms
We exist to provide ministries and workers like you 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.

New Enrollment

Enrollment and Status Changes
eSign Forms:
Accidental Injury and Critical Illness Enrollment Form (X20709) - eSign Edition
CHP Special Enrollment Application Form (11041) - eSign Edition
Death Notification Form (40153) - eSign Edition
Flexible Spending Account Enrollment Form (HealthEquity) - eSign Edition
Health Savings Account Application (HealthEquity) - eSign Edition

Claims

Beneficiary Change

Contact Information Change

Contribution Change

Direct Deposit

Legal Documentation
