UMPIP Contribution Election Form Instructions

Read the entire form before beginning.

Part 1

  • Enter personal information

Part 2 - Part 4

  • You can learn about the three options (before-tax, ROTH, and after-tax) by viewing this video from Wespath.  This is an hour-long video, but it will tell you all that you need to know about UMPIP to make the best first selection.
  • Once you have made your decision as to which option(s) you prefer, enter your percentage or dollar amount contributions in these sections.
  • If you elect before-tax, you must make an election in the Automatic Contribution Escalation section to have your contribution increased one percentage point each year or you can elect to not have this automatic escalation.  If you do not check either box, it will default to the amount being automatically increased each year. For more information, you can watch the video, found here
  • You can change your UMPIP election at any time using this form. Also, you may consult with EY Financial Planning Services. They are able to help you make decisions in regards to your UMPIP Contributions. 

Part 5

  • Sign, date, and send to the Conference Benefits Office at aodegard@ngumc.org. Scanned copies only. DO NOT send the forms to Wespath. Those instructions are for the Benefits Office.  NO PHOTOGRAPHS

The remainder of the form is filled out by the Conference Benefits Office.