Death of Spouse, Domestic Partner or Child

If your spouse, domestic partner, or child passes away, you should contact your benefits office immediately for information about how to remove the person from your benefits and apply for any death benefits available.

You must submit an application to remove your deceased spouse, domestic partner, or child from your benefits within 30 days of the death.

Click on the benefit program below to see your options. Visit the Forms Page for all plan applications, forms and brochures.

State Group Health Insurance

You have 30 days from the date of death to remove your deceased spouse, domestic partner, or child from your existing coverage.

Note: If you do not submit your application within 30 days, you may be responsible for any premiums paid by the University in error.

If you were covered by your deceased spouse’s or domestic partner’s health insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to your spouse’s or domestic partner’s death. Coverage is effective the date your other insurance terminates.

EPIC Benefits+

EPIC Benefits+ includes an accidental death benefit. If the death was accidental, submit an Accidental Death Claim form to EPIC Life Insurance Company.

You have 30 days from the date of death to remove deceased spouse, domestic partner, or child from your existing coverage.

You should review your beneficiary designation and update, if necessary.

Dental Wisconsin

You have 30 days from the date of death to remove your deceased spouse, domestic partner, or child from your existing coverage.

If you were covered by your deceased spouse’s or domestic partner’s comparable dental insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable dental coverage due to your spouse’s or domestic partner’s death. Coverage is effective the date your other insurance terminates.

VSP Vision Insurance

You have 30 days from the date of death to remove your deceased spouse, domestic partner, or child from your existing coverage.

If you were covered by your deceased spouse’s or domestic partner’s comparable vision insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable vision coverage due to your spouse’s or domestic partner’s death. Coverage is effective the date your other insurance terminates.

State Group Life Insurance

If enrolled in Spouse/Domestic Partner/Dependent coverage:

  • Complete a Notice of Death for Spouse or Dependent Child form and submit to your benefits office.
  • If you have no other eligible dependents (spouse, domestic partner, children), you should submit an application to cancel Spouse/Domestic Partner/Dependent coverage within 30 days of the death.

You should review your beneficiary designation and update, if necessary.

Individual and Family Life Insurance

If enrolled in Spouse/Domestic Partner or Child coverage:

  • Contact your benefits office to report death. Minnesota Life will send you a claim form.
  • If your spouse or domestic partner passed away, you should submit an application to cancel Spouse/Domestic Partner coverage within 30 days of the death.
  • If your child passed away and you have no other children eligible for coverage, you should submit an application to cancel your Child coverage within 30 days of the death.

You should review your beneficiary designation and update, if necessary.

UW Employee’s Inc. Life Insurance

This plan offers employee-only coverage and is not affected by the death of your spouse, domestic partner, or child.

You should review your beneficiary designation and update, if necessary.

University Insurance Association (UIA) Life Insurance

This plan offers employee-only coverage and is not affected by the death of your spouse, domestic partner, or child.

You should review your beneficiary designation and update, if necessary.

Accidental Death and Dismemberment

If you carried Family coverage and the death of your spouse, domestic partner, or child was accidental, call the Zurich American Insurance Company at 1-866-841-4771 to report the death and request a claim form. Zurich must receive the claim form within 90 days of death.

If you have Family coverage, and you have no other eligible dependents (spouse, domestic partner, or children), you should submit an application to change to Employee Only Coverage. The change to your coverage will be effective the first of the month following the date of death.

You should review your beneficiary designation and update, if necessary.

Income Continuation Insurance

This plan offers employee-only coverage and is not affected by the death of your spouse, domestic partner, or child.

Employee Reimbursement Account (ERA)

You may take the following actions within 30 days of the date of death:

  • Enroll in a Health Care and/or Dependent Day Care FSA
  • Increase, decrease, or cancel your Health Care and/or Dependent Day Care FSA election (if already enrolled).

You must submit a Change in Status form directly to WageWorks to enroll in or change your election under one or both of the plans. If you enroll, coverage is effective on the first of the month on or following approval of your Change in Status form by WageWorks.

Tax-Sheltered Annuity 403(b) Program

You can enroll in or make changes at any time.

You should review your beneficiary designation(s) and update, if necessary.

Wisconsin Deferred Compensation 457 Program

You can enroll in or make changes at any time.

You should review your beneficiary designation and update, if necessary.

Wisconsin Retirement System

You should review your beneficiary designation and update, if necessary.

Tax Withholding

You should review your tax withholding exemptions and update, if necessary.

Every effort has been made to ensure this information is current and correct. This page does not guarantee enrollment or the ability to make changes to your benefits.