Certificate of Insurance
The
University Insurance Association Plan provides decreasing
term life insurance to eligible unclassified faculty
and academic staff under Group Policy # 32872-G issued
by the Minnesota
Life Insurance Company and administered by the University
Insurance Association Board.
Eligibility
Participation
is a condition of employment for Faculty, Academic Staff
and Limited Appointees, Research Associates, Post Doctoral
Fellows/Scholars/Trainees, or others who hold an unclassified appointment by the Regents of the University of Wisconsin:
- whose duties include
either teaching, research or administration and whose current rate of compensation is not less than 50% of the average instructors salary for the previous year; and
- who are eligible for immediate or future state share contribution to the State of Wisconsin group health insurance program; and
- who are not collecting a Wisconsin Retirement System benefit.
The
monthly earnings threshold is:
In addition,
you must be eligible for immediate or future employer
contribution to the State of Wisconsin health insurance
program to participate.
Rehired annuitants receiving a Wisconsin Retirement System benefit are not eligible for this program.
Enrollment
-
If you
meet the eligibility criteria, enrollment is automatic.
-
No application
is required.
- You may
designate a beneficiary. If you do not have a beneficiary
designation on file, proceeds will be paid according
to standard sequence.
Coverage
- Coverage
is effective on April 1 or October 1, depending on
your date of employment.
- The plan
does not cover your spouse or dependents.
- Your benefit
is determined according to your age at the beginning
of the contract year (October 1), illustrated in the
following table.
| Member's
Age at Beginning of Policy Year
|
Amount
of Death Benefit
|
Member's
Age at Beginning of Policy Year
|
Amount
of Death Benefit
|
| 21
|
$60,000
|
46
|
$21,000
|
| 22
|
$60,000
|
47
|
$20,000
|
| 23
|
$60,000
|
48
|
$19,000
|
| 24
|
$60,000
|
49
|
$17,800
|
| 25
|
$60,000
|
50
|
$16,500
|
| 26
|
$60,000
|
51
|
$15,100
|
| 27
|
$60,000
|
52
|
$13,600
|
| 28
|
$58,000
|
53
|
$12,100
|
| 29
|
$55,500
|
54
|
$10,700
|
| 30
|
$52,700
|
55
|
$
9,400
|
| 31
|
$49,900
|
56
|
$
8,200
|
| 32
|
$47,200
|
57
|
$
7,100
|
| 33
|
$44,500
|
58
|
$
6,300
|
| 34
|
$41,700
|
59
|
$
5,600
|
| 35
|
$39,200
|
60
|
$
5,100
|
| 36
|
$36,700
|
61
|
$
4,600
|
| 37
|
$34,200
|
62
|
$
4,200
|
| 38
|
$32,100
|
63
|
$
3,800
|
| 39
|
$30,400
|
64
|
$
3,500
|
| 40
|
$28,800
|
65
|
$
3,300
|
| 41
|
$27,100
|
66
|
$
3,000
|
| 42
|
$26,700
|
67
|
$
2,800
|
| 43
|
$24,500
|
68
|
$
2,600
|
| 44
|
$22,900
|
69
|
$
2,300
|
| 45
|
$22,100
|
70
|
$
2,000
|
Premium
- The annual
premium of $24 is deducted from your October earnings
(paid on or about November 1).
- If your
employment begins after payment of October earnings,
a $12 premium will be deducted from your March earnings
(paid on or about April 1).
- The University
does not contribute toward the premium.
Program
Features
- An Accelerated
Benefit up to 100% of the insurance proceeds can be
paid to you if you become terminally ill.
-
Once insured
you may be eligible to continue insurance under the
group policy due to any of the following:
- you
terminate employment, including retirement; or
- you
are no longer in a class eligible for insurance,
such as moving from an academic to a non-academic
appointment; or
- you
are on a leave of absence; or
- you
are on layoff.
- To continue coverage*, you must make a written request and make the first premium contribution within 31 days after insurance would otherwise terminate.
-
You may
be eligible to convert your group insurance plan to
a permanent policy with Minnesota Life when insurance
terminates. Contact Minnesota Life Insurance Company,
P.O. Box 259708, Madison, WI 53725-9708, (608) 277-8690
for information on conversion.
*For information regarding plan continuation contact your Benefits Office and complete this continuation form.
Annual
Report for 2006-07.
The 2008 Annual Meeting will be held on December 5, 2008 at 780 Regent Street, Room 108, Madison, WI 53715.
For additional
information, please refer to the Certificate.
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This document was last
revised on May 16, 2008

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