Individual and Family Group Term Life Insurance

  1. Overview
  2. Publications
  3. Forms

Plan Overview


Description: The plan provides group term life insurance.  Initially, you may select up to $20,000 of coverage for yourself, up to $10,000 for a spouse/domestic partner, and up to $5,000 per child.  Maximum employee coverage is $200,000, $100,000 for a spouse/domestic partner, and $10,000 per child.  Annually, participants have an opportunity to increase coverage without evidence of insurability.

Premiums

Individual and Family Group Life Insurance Premiums

Learn More

Vendor

Minnesota Life Insurance Company

Send questions to: benefits@ohr.wisc.edu

Forms


Note: Use Adobe Reader to open and complete PDF forms.
MAC Users: Do not use "Preview", a PDF reader.

Application | Submit to your Payroll & Benefits Office

Application / Cancellation / Change Request, UWS 1301

Beneficiary Designation | Submit to UW System Administration

Beneficiary Designation, UWS 1305