If you end your domestic partnership you must take action to remove your ex-domestic partner and partner’s children from your benefit plans. You may also be able to enroll in certain benefit plans that offer an open enrollment due to the loss of comparable coverage you had through your former domestic partner’s benefit plans.

You must submit an application to remove your ex-domestic partner and partner’s children from your benefit plans within 30 days of terminating of your domestic partnership and/or enroll in a benefit plan within 30 days of the loss of comparable coverage. The information provided below assumes you have completed the proper paperwork to terminate your domestic partnership. See UWSA’s Domestic Partner Benefits page, Ending a Domestic Partnership tab for more information.

If you are terminating your domestic partnership due to marriage, see Domestic Partner to Marriage.

Reminder: It’s important to notify your institution’s benefits office of any changes in your name, address, emergency contacts, and domestic partnership status.

Click on the benefit program below to see your options. Visit the Forms Page for all plan applications, forms, and brochures.

 

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated, as determined by the Department of Employee Trust Funds (ETF). You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner's children from your existing coverage.

Your institution's benefits office will send a Continuation-Conversion Notice to your ex-domestic partner at his/her last known address (which may be your address unless you notify your benefits office to send it to a different address), so it is important to let them know about the end of your domestic partnership.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting the continuation form and application to ETF within 60 days of the coverage end date or the receipt of a continuation form, whichever is later.

If you were covered by your ex-domestic partner’s health insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. Coverage is effective the date your other insurance terminates.

Along with your health insurance application, you will need to provide the following documentation on letterhead from the previous insurer or former employer, dated and issued after termination of coverage. Materials providing prospective termination dates are not acceptable.

  • Who was covered (must list the name of the member who is requesting this special, late enrollment)
  • Name of health insurer
  • Subscriber number (and name)
  • Date coverage was terminated
  • Reason for cancellation (whether it was voluntary, such as due to non-payment of premium, vs. involuntary, such as due to job loss).

A COBRA notice is acceptable documentation if the coverage end date, covered individuals, and health plan are indicated. If loss of employer premium contributions is reason for coverage ending, a letter from the employer indicating they no longer contribute toward their employee's premium should be included.

Note: If enrolling in a High Deductible Health Plan, see HDHP/HSA.

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner’s children from your existing coverage.

Your institution's benefits office will send a continuation notice to your ex-domestic partner at his/her last known address (which may be your address unless you notify your benefits office to send it to a different address), so it is important to let them know about the termination of your domestic partnership and submit an application to remove your ex-domestic partner and partner's children within 30 days after the date the partnership terminates.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting the continuation form and application to EPIC Life Insurance Company within 60 days of the coverage end date or the receipt of a continuation form, whichever is later.

You should review your beneficiary designation for the EPIC Benefits+ Accidental Death and Dismemberment (AD&D) benefit and update, if necessary.

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner’s children from your existing coverage.

Your institution's benefits office will send a continuation notice to your ex-domestic partner at his/her last known address (which may be your address unless you notify your benefits office to send it to a different address), so it is important to let them know about the termination of your domestic partnership and to submit an application to remove your ex-domestic partner and partner's children within 30 days after the date the partnership terminates.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting the continuation form and application to EPIC Life Insurance Company within 60 days of the coverage end date or the receipt of a continuation form, whichever is later.

If you were covered by your ex-domestic partner’s comparable dental insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. Coverage is effective the date your other insurance terminates. You will need to provide documentation of the loss of the other comparable coverage.

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner’s children from your existing coverage.

Your institution's benefits office will send a continuation notice to your ex-domestic partner at his/her last known address (which may be your address unless you notify your benefits office to send it to a different address), so it is important to let them know about the termination of your domestic partnership and submit an application to remove your ex-domestic partner and partner's children within 30 days after the date the partnership terminates.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting the continuation form and application to VSP within 60 days of the coverage end date or the receipt of a continuation form, whichever is later.

If you were covered by your ex-domestic partner’s comparable vision insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. Coverage is effective the date your other insurance terminates. You will need to provide documentation of the loss of the other comparable coverage.

Coverage for your ex-domestic partner and partner’s children ends on the date your domestic partnership is terminated.

If you have Spouse/Domestic Partner/Dependent coverage, and your ex-domestic partner and partner’s children were your last eligible dependents (you do not have any other eligible children of your own), you should submit an application to cancel Spouse/Domestic Partner/Dependent coverage within 30 days of terminating your domestic partnership.

Your ex-domestic partner and partner’s children may convert coverage to an individual whole life insurance policy known as Secure Protector Whole Life policy by submitting a conversion form to Securian within 31 days of the coverage end date. You can also contact your institution’s benefits office for a conversion form.

You should review your beneficiary designation and update, if necessary.

Coverage for your ex-domestic partner and partner’s children ends on the date your domestic partnership is terminated.

If enrolled in Spouse/Domestic Partner coverage, you should submit an application to cancel coverage within 30 days of terminating your domestic partnership.

If enrolled in Child coverage, and your ex-domestic partner’s children are your last eligible children, you should submit an application to cancel Child coverage within 30 days of terminating your domestic partnership.

Your ex-domestic partner and partner’s children may convert coverage to an individual whole life insurance policy known as Secure Protector Whole Life policy by submitting a conversion form to Securian within 31 days of the coverage end date. You can also contact your institution's benefits office for a conversion form.

You should review your beneficiary designation and update, if necessary.

This plan offers employee-only coverage and is not affected by terminating your domestic partnership.

You should review your beneficiary designation and update, if necessary.

This plan offers employee-only coverage and is not affected by terminating your domestic partnership.

You should review your beneficiary designation and update, if necessary.

Coverage for your ex-domestic partner and partner’s children ends on the date your domestic partnership is terminated.

If you have Family coverage, and your ex-domestic partner and partner’s children were your last eligible dependents (you do not have any other eligible children of your own), you should submit an application to change to Employee Only Coverage.

Your ex-domestic partner and partner’s children may convert coverage to an individual policy by contacting Zurich American Insurance Company at 1-800-834-1959 (reference UW System Policy # GTU-8364005) within 60 days of the coverage end date.

You should review your beneficiary designation and update, if necessary.

This plan offers employee-only coverage and is not affected by terminating your domestic partnership.

If expenses associated with your ex-domestic partner and partner’s children qualified under the Health Care or Dependent Care FSA program, you may take the following actions within 30 days of terminating your domestic partnership. Action must be consistent with the qualifying event.

  • Enroll in a Health Care FSA if you lost coverage under your ex-domestic partner's plan
  • Enroll in a Dependent Day Care FSA to accommodate newly-eligible dependent if you lost coverage under your ex-domestic partner's plan
  • Increase, decrease, or cancel your Health Care and/or Dependent Day Care FSA election (if already enrolled)

You must submit a Change of Election Form within 30 days of terminating your domestic partnership to your institution's benefits office to enroll in or change your election under one or both of the plans. If you enroll, coverage is effective on the first of the month on or following the date in which your domestic partnership is terminated.

If you enroll in a High Deductible Health Plan (for health insurance) due to losing coverage under your ex-domestic partner's health insurance plan, you are required to also enroll in the Health Savings Account. Submit the HSA enrollment form along with the State Group Health application to your institution's benefits office within 30 days of losing coverage. Note that there are special eligibility requirements to enroll in the High Deductible Health Plan. See HDHP/HSA for more information.

You can make changes to your contributions at any time.

You should review your beneficiary designation and update, if necessary.

Your TSA account can be included in a settlement if the court issues a Qualified Domestic Relations Order (QDRO) that is acceptable to your TSA investment company.

You can enroll in or make changes at any time.

You should review your beneficiary designation(s) and update, if necessary.

If you established a domestic partnership with the Department of Employee Trust Funds (ETF), a portion of your Wisconsin Deferred Compensation account can be granted to your ex-domestic partner if the court issues a Qualified Domestic Relations Order (QDRO) directing WDC to divide your account.

You can enroll in or make changes at any time.

You should review your beneficiary designation and update, if necessary.

If you established a domestic partnership with the Department of Employee Trust Funds (ETF), a portion of your WRS account can be granted to your ex-domestic partner if the court issues a Qualified Domestic Relations Order (QDRO) directing ETF to divide your account and your creditable service (up to 50%).

You should review your beneficiary designation and update, if necessary.

You should review your tax withholding exemptions and update, if necessary.

Every effort has been made to ensure this information is current and correct. This page does not guarantee enrollment or the ability to make changes to your benefits.