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

Learn More

• Individual and Family Group Term Life Insurance
• Life Insurance Plan Cost Comparison Chart
• Life Insurance Plan Features Comparison Chart
• Coverage End Dates for Dependents

More Information

Vendor

Send questions to: benefits@ohr.wisc.edu

Publications

Individual and Family Group Term Life Insurance

Fact Sheet

Certificate of Insurance

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

Evidence of Insurability | Submit to Minnesota Life Insurance

Evidence of Insurability, 03-30538
If you do not enroll for coverage when you are first eligible or would like to increase your coverage beyond the annual increase option amount, you can apply by completing an Evidence of Insurability application.

Beneficiary Designation | Submit to UW System Administration

Transfer of Ownership | Submit to Minnesota Life Insurance