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.

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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?

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Contact Information

The 2017-2019 Wisconsin Biennial Budget (2017 Wisconsin Act 59), signed into law on September 21, 2017, eliminates the Chapter 40 domestic partnership program. As a result, domestic partners and partner’s children (who are not also your dependent children) will no longer be eligible for some benefits plans as of January 1, 2018 (State Group Health Insurance, Dental Wisconsin, EPIC Benefits+, VSP and State Group Life Insurance).

If you establish a domestic partnership for employee-benefit purposes, you are eligible to add your domestic partner and any newly eligible children (e.g. your partner’s children) to some benefit plans.

You must submit an application to add your domestic partner and any newly eligible children to your benefit plans and/or enroll in a benefit plan for the first time within 30 days of establishing a domestic partnership. All information below assumes you have established a domestic partnership. See the Domestic Partnership page for more information about how to establish a domestic partnership for benefit purposes. You must include your domestic partnership affidavit with any applications submitted.

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

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

This plan does not offer domestic partnership coverage.

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

If enrolled in Employee coverage, you may take the following actions within 30 days of establishing your domestic partnership. Coverage is effective on the first of the month on or following 30 days from the date your domestic partnership is established.

  • Add Spouse/Domestic Partner coverage
  • Add Child coverage if this is the first time you have an eligible child to cover.

If already enrolled in Child coverage, newly eligible children are automatically covered (does not require an 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 establishing a domestic partnership.

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

This plan offers employee-only coverage and there is no enrollment opportunity due to establishing a domestic partnership.

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, domestic partner 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 establishing a domestic partnership.

You may take the following actions within 30 days of establishing your domestic partnership IF your domestic partner or domestic partner’s children (who are not also your dependent children) qualify as your dependents under IRS rules.

  • Enroll in a Health Care and/or Dependent Day Care FSA
  • Increase, decrease or cancel your Health Care and/or Dependent Day Care FSA election (if already enrolled). Action must be consistent with the qualifying event.

You must submit a Change of Election form to your institution’s human resources office 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 your domestic partnership is established.

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: 11/6/2017