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 most benefits plans as of January 1, 2018.

If you end your domestic partnership, you must take action to remove your ex-domestic partner and partner’s children (who are not also your dependent 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. See Loss of Other Coverage for more information.

You must submit an application to remove your ex-domestic partner and partner’s children (who are not also your dependent children) from your benefit plans within 30 days of terminating of your domestic partnership.

The UW Service Center will send a continuation notice to your ex-domestic partner at his or her last known address. If your ex-domestic partner is no longer living at the same address as you, provide your ex-domestic partner’s address to your human resources office so that the continuation notice is sent to your ex-domestic partner’s address. Your ex-domestic partner can contact the UW Service Center at servicecenter@uwsa.edu or (888) 298-0141 if they do not receive a continuation notice.

The information provided below assumes you have completed the proper paperwork to terminate your domestic partnership. See the Domestic Partner Benefits page 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 human resources 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.

If you were covered by your ex-domestic partner’s health insurance, you may enroll (along with your dependent children that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. See Loss of Other Coverage for more information.

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

If you were covered by your ex-domestic partner’s comparable dental insurance, you may enroll (along with your dependent children that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. See Loss of Other Coverage for more information.

If you were covered by your ex-domestic partner’s comparable vision insurance, you may enroll (along with your dependent children that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. See Loss of Other Coverage for more information.

Coverage for your ex-domestic partner and partner’s children (who are not also your dependent children) ends on the date your domestic partnership is terminated.

If you have Spouse and 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 and 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 application and first premium to Securian within 31 days of the coverage end date. Your ex-domestic partner can contact the UW Service Center at servicecenter@uwsa.edu or (888) 298-0141 for a conversion application.

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

Coverage for your ex-domestic partner and partner’s children (who are not also your dependent 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 were your last eligible children (you do not have any other eligible children of your own), you should submit an application to cancel Child coverage within 30 days of terminating your domestic partnership. This can be done via the same application with which you remove your ex-domestic partner.

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 application and first premium to Securian within 31 days of the coverage end date. Your ex-domestic partner can contact the UW Service Center at servicecenter@uwsa.edu or (888) 298-0141 for a conversion application.

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 (who are not also your dependent 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. Your ex-domestic partner can contact the UW Service Center at servicecenter@uwsa.edu or (888) 298-0141 for a conversion application.

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 (who are not also your dependent 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 human resources 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.

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.

Last updated: 5/8/2018