I don’t know when it began, but the move to shift the cost of benefits from churches to ministers has unfolded at an alarming rate. The driver of all of this is rapidly escalating health care cost, namely health insurance. What was once a staple benefit for most employees is quickly eroding in the American workplace. The US Congress is fully aware of the problem, which is why a few years back they passed the bi-partisan Affordable Care Act. The ACA provides the opportunity to purchase health care benefits for millions of previously uninsured adults and children. President-elect Trump has promised to repeal the ACA his first day in office. Latest reports indicate that it will, in fact, be repealed; but the repeal will be delayed for some years until they can figure out what to do in its place. Meanwhile, far too many ministers are left twisting in the wind wondering how they will provide health care for themselves and their families.

Last month I asked some churches to share with me just how they went about providing these benefits. Of the 42 churches that responded, the results were all over the spectrum of possibilities from churches that still offer full family coverage for all ministers to one church that noted ‘we just decided to get out of the insurance business’. Inequities abound. Influencing where a church is on the spectrum are a myriad of forces. Primary among them are shrinking church finances. While loathe to cut missions, church programs and salaries, and while required to pay property and casualty insurance as well as utility and building costs; the easiest place to cut is benefits.

In my work with young pastors this may be the single biggest shock they experience entering ministry. Most folk accepting a job in the secular world (I know there are exceptions) are offered a salary accompanied by some sort of benefit package for health care coverage and retirement contribution. Many churches have started offering a ‘salary package’. One minister told he was getting a $50,000 salary, which he thought to be generous and appropriate for the setting. Only later did he learn that out of that $50,000 he would have to pay $19,000 for health insurance, $5,000 for a retirement contribution, plus all of his ministry expenses (travel, continuing education, conventions, books, etc.). His actual salary/housing amount proved to be just under $23,000.

Another minister who has served a church for more than a dozen years is actually taking home less dollars today than when she first began at the same church. Sure, she got a few pay raises across the years, but as the church shifted benefit costs to her, it eroded what little gains she made. Several churches gave ministers a ‘one time’ pay increase to cover the insurance cost at that point in time. The ministers were then left to cover any future increases, whatever they might be.

Churches are forcing ministers into the ‘marketplace’ of the ACA or onto the plan of a spouse if they are that fortunate. One church recently transitioned to a HSA (Health Savings Account) which, while it costs less, carries with it a $7,000 deductible and ‘no’ prescription benefit. Essentially, what many churches have done and others are beginning to do is move toward a form of low cost catastrophic coverage.

My purpose is not to affix blame to anyone about this crisis. But when those who work for the government have defined and guaranteed health care benefits, as do many professionals in the business world, what can be done to insure that our ministers and their families are not broken by the system?

Allow me to offer a few modest suggestions. We simply must think about this in ways that have not been necessary until now. Smaller rural churches that have always had a full time pastor may no longer be able to afford that luxury. What about two churches finding a way to share a pastor in order that they might be able to provide decent pay and benefits? What about smaller churches merging to form a new, more vibrant congregation, one that is able to afford and provide for ministers and reduce the expense of two churches at the same time? What about larger churches that have too much staff? When a vacancy occurs, might it be helpful to reassign work assignments and use those saved funds in order to cover health care for the rest of the staff?

As someone who is retired and on Medicare, I have no dog in this fight; but it is unconscionable to me that some churches expect their ministers to bear the full brunt of health care costs. Midst all the regulatory uncertainty and congressional apathy to truly ‘fix the problem’, there are things congregations can do to make it right. If in your churches you have any voice at all in this matter, please use it.

Mike Queen
A native of West Virginia, Mike Queen, has served churches in North Carolina the last 36 years. Recently retired after twenty-five years as pastor at First Baptist Church in Wilmington, NC, Mike, along with his colleague Jayne Davis, has founded a ministry of encouragement called Hopeful Imagination to work with traditional churches dedicated to finding God’s way in a changing world. Mike and Bobbie, his wife of 45 years, live in Wilmington and they have continued their ministry by serving as interim pastor in other NC churches. He is a consultant for CHC and a co-coordinator for CHC-Carolinas.