UW Employees, Inc. Life Insurance

  1. Overview
  2. Publications
  3. Forms

Plan Overview


Description: The plan provides employee-only decreasing term life insurance, with coverage amount based on your age.

Premiums

UW Employees, Inc. Life Insurance Premiums

Learn More

Vendor

Minnesota Life Insurance Company

Send questions to: benefits@ohr.wisc.edu

Publications


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 for Enrollment or Cancellation
Coverage is effective on the first of the month after your Payroll & Benefits Office has received your application.

Beneficiary Designation | Submit to Minnesota Life Insurance

Beneficiary Designation