State Group Life Insurance
Plan Overview
Description: The plan provides group term life insurance. Coverage, based on your highest Wisconsin Retirement System calendar year earnings, is available up to 5 times your annual income. Spouse/Domestic Partner and Dependent coverage is available.
Premiums
State Group Life Insurance PremiumsLearn More
- The Wisconsin Public Employers Group Life Insurance Plan, ET-2101
- State Group Life Insurance Page
- State Group Life Insurance - ETF Overview
- Life Insurance Plan Cost Comparison Chart
- Life Insurance Plan Features Comparison Chart
- Coverage End Dates for Dependents
Administered by
WI Department of Employee Trust Funds (ETF)
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
- Life Insurance Application / Cancellation / Refusal, ET-2304
- How to Enroll a Domestic Partner and his/her Eligible Dependent