Employee Benefits

TSA Program -- Salary Reduction Agreement

This Salary Reduction Agreement (SRA) authorizes the University to withhold either a dollar amount or percent of pay from each paycheck.

If you choose 100%, then ALL of your salary -- after Social Security and insurance premiums -- will be sent to your TSA company and you will have a $0.00 paycheck.

The money is sent to the investment company(ies) that you select from among those authorized under the UW Tax-Sheltered Annuity (TSA) Program. The company invests your money according to your instructions on your account enrollment application.

  • You can make either pre-tax or Roth after-tax contributions or a combination of both options. TIAA-CREF, Fidelity, T. Rowe Price and Lincoln offer the Roth option.
  • In a Roth 403(b) account contributions are included in taxable income in the year they are made, but the account balance and earnings are not taxed when distributed (subject to certain restrictions).
  • With a pre-tax 403(b) account, your contributions reduce your current taxable income. Both your principal and your earnings grow on a tax-deferred basis.

You may print the SRA and complete it. Please make a copy for your records and send the original to your benefits office. You may also fax your agreement to your institution's benefit office. The address and fax number are provided on page two of the SRA.

The investment company cannot accept your 403(b) contribution until you have opened an account. Do NOT file a Salary Reduction Agreement until you have enrolled with your investment company. Investment Company information.

Salary Reduction Agreement

Online fillable Salary Reduction Agreement (pdf) Note: Use Adobe Reader to open and complete pdf forms. Mac Users: Do not use "preview," as a pdf reader.

It is your responsibility to confirm that your Salary Reduction Agreement has been properly processed by monitoring your earnings statement.

Note: The Salary Reduction Agreement is in PDF format. You must have Adobe Acrobat Reader to access the complete documents on-line. Download the FREE software from Adobe. A printed copy of this Salary Reduction Agreement (form UWS31) is available from your Staff Benefits Office.

Return to the University of Wisconsin System Employee Benefits Page


This page was created by UWSA Human Resources.

If you have questions or comments, direct them to your campus staff benefits office or to Rose Stephenson, Phone: (608) 262-5564, Email: rstephenson@uwsa.edu


This document was last revised on May 7, 2013

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