Beneficiary Designations

Remember to review and update your beneficiary designations whenever there is a big life event to make sure that your benefits are paid according to your wishes. There are other benefit plans (non- life insurance) that have death benefits as well.

Click here for more information

Forms & Applications

Forms and applications must be received by your human resources office within 30 days from the date of event.

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Questions?

Contact your human resources office.

Contact Information

If you marry your UW System domestic partner, you should submit a UW System Affidavit of Termination of Domestic Partnership (UWS-51) pdf

to terminate your domestic partnership.

Reminder: It’s important to notify your human resources office of any changes in your name, address, emergency contacts and marital status.

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

*General information regarding domestic partner benefits at the University of Wisconsin System can be found on the Domestic Partner page.

You may take the following actions within 30 days of your marriage.  Coverage is effective on the date of your marriage.

  • Add your spouse and any eligible children to your existing coverage
  • Enroll (can cover all eligible family members)

You may also take the following actions within 30 days of your marriage.  These changes are effective on the first of the month on or following the receipt of your application.

  • Change health insurance plan carriers or health plan design
    • If you change your health insurance plan carrier and/or change health plan designs (i.e. health plan to high deductible health plan (HDHP), all limits (deductible, benefit maximums and out-of-pocket limits) will reset. Prescription drug annual out-of-pocket limit and Uniform Dental benefit maximums will transfer to the new plan.
  • Cancel coverage if you become eligible for and enroll under your spouse’s health plan (see Gain of Other Coverage for more information.)
  • If both employees are State of Wisconsin employees:
    • You may carry two Single plans; or
    • You may carry one Family plan

You may take the following actions within 30 days of your marriage. Coverage is effective on the date of your marriage.

  • Add your spouse and any eligible children to your existing coverage
  • Enroll (can cover all eligible family members)

If both employees are State of Wisconsin employees:

  • You may carry two Single plans; or
  • You may carry one plan covering yourself and your dependent(s)
  • Note: AD&D benefit under this plan is greater for the subscriber.

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

You may take the following actions within 30 days of your marriage. Coverage is effective on the date of your marriage.

  • Add your spouse and any eligible children to your existing coverage
  • Enroll (can cover all eligible family members)

If both employees are State of Wisconsin employees:

  • You may carry two Single plans; or
  • You may carry one plan covering yourself and your dependent(s)
  • If one spouse carries the Select Plan and the other carries the PPO plan, you may choose which plan to continue

You may take the following actions within 30 days of your marriage. Coverage is effective on the date of your marriage.

  • Add your spouse and any eligible children to your existing coverage
  • Enroll (can cover all eligible family members)

You may take the following actions within 30 days of your marriage. Coverage is effective on the first of the month on or following 30 days from the date of your marriage.

  • Enroll in Basic coverage (if not currently enrolled);
  • Add one unit of employee coverage (if not already enrolled in maximum number of units);
  • Enroll in Spouse and Dependent coverage
    • If already enrolled, spouse and newly eligible children are automatically covered (does not require an application)

Coverage is effective on the first of the month on or following 30 days from the date of your marriage.

If you previously established a domestic partnership with the Department of Employee Trust Funds (ETF), you should submit to ETF an Affidavit of Termination of Domestic Partnership (ET-2372) to terminate your domestic partnership.

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

Marrying your domestic partner does not offer any enrollment/change opportunities for you or your family members.

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

This plan offers employee-only coverage and there is no enrollment opportunity due to your marriage.

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

This plan offers employee-only coverage and there is no enrollment opportunity due to your marriage.

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

You may enroll in Employee Only or Family coverage at any time. If enrolled in Family coverage, spouse and newly eligible children are automatically covered (does not require an application).

Changes to your coverage are effective on the first of the month on or following the receipt of your application.

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

This plan offers employee-only coverage and there is no enrollment opportunity due to your marriage.

You may take the following actions within 30 days of your marriage. Action must be consistent with the qualifying event.

  • Enroll in a Healthcare and/or Dependent Day Care FSA
  • Increase, decrease, or cancel your Healthcare and/or Dependent Day Care FSA election (if already enrolled).

You must submit a Change of Election Form pdf  to your human resources office within 30 days of your marriage to enroll in or change your election under one or both of the plans. Coverage or changes are effective on the first of the month on or following the date of your marriage.

If you enroll in a High Deductible Health Plan (HDHP) for health insurance, or change your health plan to an HDHP due to marriage, you are also required to enroll in the Health Savings Account (HSA). Submit the HSA enrollment form along with the State Group Health application to your human resources office within 30 days of your marriage. Note that there are special eligibility requirements to enroll in the High Deductible Health Plan. See HDHP for more information.

You can make changes to your contributions at any time.

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

You can enroll in or make changes at any time.

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

You can enroll in or make changes at any time.

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

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.

last updated 12/1/2017