University Insurance Association (UIA) Life Insurance

  1. Overview
  2. Publications
  3. Forms

Plan Overview

Description: Participation in this decreasing term life insurance plan is a condition of employment for all eligible Faculty, Academic Staff, or Limited Appointees. Classified employees are not eligible. Eligibility will be evaluated annually based on active employment information as of October 1 to ensure that the employee meets the minimum salary requirements. 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 (the paycheck you receive on November 1).
Coverage Amounts Table

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More Information

Vendor

Securian Financial Group

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.

Conversion | Submit to Securian Financial Group

Conversion of Group Life Insurance Enrollment, EdF68525

Beneficiary Designation | Submit to Securian Financial Group

Beneficiary Designation, F59786

Accelerated Benefit | Submit to Securian Financial Group

Notice of Claim for Accelerated Benefit, F43307-UWEI