Plan Overview

Description: Participation in this decreasing term life insurance plan is mandatory for all eligible Unclassified employees. Classified employees are not eligible. There is no enrollment form. Your benefit level is based on your age at the beginning of the policy year (October 1).

Premiums

The annual $24 premium is deducted from your October earnings. If you initially qualify for coverage on April 1, a $12 premium will be deducted from your March earnings.
Coverage Amounts Table

Learn More

• University Insurance Association (UIA) Fact Sheet
• Life Insurance Plan Cost Comparison Chart
• Life Insurance Plan Features Comparison Chart

More Information

• UIA By-Laws
• Change to Schedule of Benefits Effective October 1, 2010

Vendor

Send questions to: benefits@ohr.wisc.edu

Publications

University Insurance Association (UIA) 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.

Conversion | Submit to Minnesota Life

Beneficiary Designation | Submit to Minnesota Life

Living Benefit | Submit to Minnesota Life

Transfer of Ownership | Submit to Minnesota Life