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    The Upper New York Conference of The United Methodist Church


    news article

    Certificates of Insurance in the UNY Conference

    February 1, 2021 / By Tracy Rickett, Human Resources Generalist

    If your church is seeking certificates of insurance for disability insurance coverage (DB 120.1) and/or workers’ compensation insurance coverage (C105.2), the following information will be helpful to you. 

    Requests for DB 120.1

    Certificates of insurance for disability insurance coverage (DB 102.1) are issued by the disability insurance carrier, Guardian. The following information will be needed from you to request the certificate of insurance. You can email either Tracy Rickett, Human Resources Generalist, at (315) 898-2017 or email at tracyrickett@unyumc.org or Suzannah Emerson at SEmerson@WalshDuffield.com with the following information. Please allow at least 5 business days for your request to be processed. 

    NAME OF INSURED CHURCH:

    MAILING ADDRESS OF INSURED CHURCH:

    EMAIL ADDRESS TO WHERE DB 120.1 CERTIFICATE SHOULD BE SENT:

    NAME OF ENTITY REQUESTING PROOF OF INSURANCE (Typically the Dept of Health):

    ADDRESS OF ENTITY REQUESTING PROOF OF INSURANCE:

    Requests for C 105.2

    Certificates of insurance for workers’ compensation insurance coverage (C105.2) can be obtained by contacting American Church Group of NY. They will assist each church in obtaining the documentation needed. Contact them at 800-326-7200; 717-763-5517 (fax) or UMCservice.NY@AmericanChurchGroup.com.

    If you have questions on certificates of insurance, please contact Tracy Rickett, Human Resources Generalist, at (315) 898-2017 or email at tracyrickett@unyumc.org.


    With more than 134,000 members, the Upper New York Annual (Regional) Conference of The United Methodist Church comprises 865 local churches and 85 new faith communities in 12 districts, covering 48,000 square miles in 49 of the 62 counties in New York state. Our mission is to “live the Gospel of Jesus Christ and to be God’s love with our neighbors in all places."