If the pastor's coverage is through a self-insured church group health plan (including GuideStone coverage), you are not required to include his medical coverage on his W-2. However, you may be required to report Flexible Spending Account or Health Savings Account contributions made on behalf of employees if they exceed certain amounts.
If you offer coverage through a carrier other than GuideStone, it is likely that you are required to report the value of health insurance coverage for him.
For additional Health Care Reform information please visit GuideStone.org/HealthReform.